Community Care Center - La Mesa Nursing Home
General Information
UPDATEFederal Provider Number
55873
Provider Name
COMMUNITY CARE CENTER
Provider Address
8665 LA MESA BLVD.
LA MESA, CA 91942
LA MESA, CA 91942
Provider Phone Number
(619) 465-0702
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
119
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY CONVALESCENT HOSPITAL OF LA MESA
Date First Approved to Provide Medicare and Medicaid services
1968-02-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40327
Reported LPN Staffing Hours per Resident per Day
1.78972
Reported RN Staffing Hours per Resident per Day
1.09299
Reported Licensed Staffing Hours per Resident per Day
2.88271
Reported Total Nurse Staffing Hours per Resident per Day
5.28598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10140
Expected CNA Staffing Hours per Resident per Day
2.58986
Expected LPN Staffing Hours per Resident per Day
0.97521
Expected RN Staffing Hours per Resident per Day
1.56889
Expected Total Nurse Staffing Hours per Resident per Day
5.13396
Adjusted CNA Staffing Hours per Resident per Day
2.27692
Adjusted LPN Staffing Hours per Resident per Day
1.52323
Adjusted RN Staffing Hours per Resident per Day
0.52055
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15026
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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