Extended Care Hosp Westminster - Westminster Nursing Home
General Information
UPDATEFederal Provider Number
555211
Provider Name
EXTENDED CARE HOSP WESTMINSTER
Provider Address
206 HOSPITAL CIRCLE
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
Provider Phone Number
(714) 891-2769
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDED CARE HOSPITAL OF WESTMINSTER
Date First Approved to Provide Medicare and Medicaid services
1985-09-05
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.69247
Reported LPN Staffing Hours per Resident per Day
0.94839
Reported RN Staffing Hours per Resident per Day
0.25914
Reported Licensed Staffing Hours per Resident per Day
1.20753
Reported Total Nurse Staffing Hours per Resident per Day
3.90000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00376
Expected CNA Staffing Hours per Resident per Day
2.03709
Expected LPN Staffing Hours per Resident per Day
0.52363
Expected RN Staffing Hours per Resident per Day
0.74647
Expected Total Nurse Staffing Hours per Resident per Day
3.30718
Adjusted CNA Staffing Hours per Resident per Day
3.24312
Adjusted LPN Staffing Hours per Resident per Day
1.50329
Adjusted RN Staffing Hours per Resident per Day
0.25940
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75345
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-03-07
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
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
3
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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