Fortuna Rehabilitation And Wellness Center, Lp - Fortuna Nursing Home
General Information
UPDATEFederal Provider Number
56361
Provider Name
FORTUNA REHABILITATION AND WELLNESS CENTER, LP
Provider Address
2321 NEWBURG ROAD
FORTUNA, CA 95540
FORTUNA, CA 95540
Provider Phone Number
7077254467
Provider SSA County
110
Provider County Name
Humboldt
Ownership Type
For profit - Partnership
Number of Certified Beds
104
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FORTUNA REHABILITATION & WELLNESS CENTER, LP
Date First Approved to Provide Medicare and Medicaid services
1973-02-22
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
2
Health Inspection Rating Footnote
QM Rating
3
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
2.80764
Reported LPN Staffing Hours per Resident per Day
0.87708
Reported RN Staffing Hours per Resident per Day
0.68472
Reported Licensed Staffing Hours per Resident per Day
1.56181
Reported Total Nurse Staffing Hours per Resident per Day
4.36944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06319
Expected CNA Staffing Hours per Resident per Day
2.24491
Expected LPN Staffing Hours per Resident per Day
0.55948
Expected RN Staffing Hours per Resident per Day
0.88468
Expected Total Nurse Staffing Hours per Resident per Day
3.68907
Adjusted CNA Staffing Hours per Resident per Day
3.06876
Adjusted LPN Staffing Hours per Resident per Day
1.30117
Adjusted RN Staffing Hours per Resident per Day
0.57831
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77431
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-07
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
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-11-22
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
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
75.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
21
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
Nursiong Homes Nearby
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6400 Purdue Drive |
EUREKA CA 95503 | 10.2 miles away
Granada Rehabilitation & Wellness Center, Lp
2885 Harris Street |
EUREKA CA 95503 | 13.1 miles away
Pacific Rehabilitation & Wellness Center, Lp
2211 Harrison Avenue |
EUREKA CA 95501 | 13.6 miles away
Eureka Rehabilitation & Wellness Center, Lp
2353 Twenty-third St |
EUREKA CA 95501 | 14.8 miles away
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