Country Hills Health Care Center - El Cajon Nursing Home
General Information
UPDATEFederal Provider Number
555431
Provider Name
COUNTRY HILLS HEALTH CARE CENTER
Provider Address
1580 BROADWAY
EL CAJON, CA 92021
EL CAJON, CA 92021
Provider Phone Number
(619) 441-8745
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
305
Number of Residents in Certified Beds
293
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY HILLS HEALTH CARE INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1990-07-03
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48413
Reported LPN Staffing Hours per Resident per Day
0.77389
Reported RN Staffing Hours per Resident per Day
0.42270
Reported Licensed Staffing Hours per Resident per Day
1.19659
Reported Total Nurse Staffing Hours per Resident per Day
3.68072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05956
Expected CNA Staffing Hours per Resident per Day
2.14253
Expected LPN Staffing Hours per Resident per Day
0.56551
Expected RN Staffing Hours per Resident per Day
0.92200
Expected Total Nurse Staffing Hours per Resident per Day
3.63005
Adjusted CNA Staffing Hours per Resident per Day
2.84491
Adjusted LPN Staffing Hours per Resident per Day
1.13583
Adjusted RN Staffing Hours per Resident per Day
0.34256
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08717
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.00000
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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