Extended Care Hospital Of Riverside - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
56162
Provider Name
EXTENDED CARE HOSPITAL OF RIVERSIDE
Provider Address
8171 MAGNOLIA AVENUE
RIVERSIDE, CA 92504
RIVERSIDE, CA 92504
Provider Phone Number
(951) 687-3842
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
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
F & B HEALTH CARE
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.69521
Reported LPN Staffing Hours per Resident per Day
0.72394
Reported RN Staffing Hours per Resident per Day
0.52394
Reported Licensed Staffing Hours per Resident per Day
1.24787
Reported Total Nurse Staffing Hours per Resident per Day
3.94309
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04787
Expected CNA Staffing Hours per Resident per Day
2.40706
Expected LPN Staffing Hours per Resident per Day
0.68369
Expected RN Staffing Hours per Resident per Day
1.12527
Expected Total Nurse Staffing Hours per Resident per Day
4.21601
Adjusted CNA Staffing Hours per Resident per Day
2.74744
Adjusted LPN Staffing Hours per Resident per Day
0.87886
Adjusted RN Staffing Hours per Resident per Day
0.34791
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76996
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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