Devonshire Care Center - Hemet Nursing Home
General Information
UPDATEFederal Provider Number
56095
Provider Name
DEVONSHIRE CARE CENTER
Provider Address
1350 EAST DEVONSHIRE AVENUE
HEMET, CA 92544
HEMET, CA 92544
Provider Phone Number
(951) 925-2571
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEVONSHIRE CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-09-05
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.26712
Reported LPN Staffing Hours per Resident per Day
1.17534
Reported RN Staffing Hours per Resident per Day
0.73356
Reported Licensed Staffing Hours per Resident per Day
1.90890
Reported Total Nurse Staffing Hours per Resident per Day
4.17602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24041
Expected CNA Staffing Hours per Resident per Day
2.57792
Expected LPN Staffing Hours per Resident per Day
0.74033
Expected RN Staffing Hours per Resident per Day
1.30741
Expected Total Nurse Staffing Hours per Resident per Day
4.62566
Adjusted CNA Staffing Hours per Resident per Day
2.15788
Adjusted LPN Staffing Hours per Resident per Day
1.31769
Adjusted RN Staffing Hours per Resident per Day
0.41924
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63908
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-09-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-19
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
15
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
94.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
17
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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