Coventry Court Health Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
55983
Provider Name
COVENTRY COURT HEALTH CENTER
Provider Address
2040 S. EUCLID AVENUE
ANAHEIM, CA 92802
ANAHEIM, CA 92802
Provider Phone Number
7146362800
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C.C.H.C., INC.
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.92603
Reported LPN Staffing Hours per Resident per Day
1.34932
Reported RN Staffing Hours per Resident per Day
1.36781
Reported Licensed Staffing Hours per Resident per Day
2.71712
Reported Total Nurse Staffing Hours per Resident per Day
5.64316
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20479
Expected CNA Staffing Hours per Resident per Day
2.73174
Expected LPN Staffing Hours per Resident per Day
0.89765
Expected RN Staffing Hours per Resident per Day
1.65860
Expected Total Nurse Staffing Hours per Resident per Day
5.28798
Adjusted CNA Staffing Hours per Resident per Day
2.62822
Adjusted LPN Staffing Hours per Resident per Day
1.24763
Adjusted RN Staffing Hours per Resident per Day
0.61620
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30164
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
0
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
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-04-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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