Friendship Manor Nursing & Rehab Center - National City Nursing Home
General Information
UPDATEFederal Provider Number
55964
Provider Name
FRIENDSHIP MANOR NURSING & REHAB CENTER
Provider Address
902 SOUTH EUCLID AVENUE
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
Provider Phone Number
(619) 791-7700
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF NATIONAL CITY I, LLC
Date First Approved to Provide Medicare and Medicaid services
1968-08-30
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
5
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
2.82010
Reported LPN Staffing Hours per Resident per Day
0.83660
Reported RN Staffing Hours per Resident per Day
0.78814
Reported Licensed Staffing Hours per Resident per Day
1.62474
Reported Total Nurse Staffing Hours per Resident per Day
4.44484
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18711
Expected CNA Staffing Hours per Resident per Day
2.74323
Expected LPN Staffing Hours per Resident per Day
0.74083
Expected RN Staffing Hours per Resident per Day
1.14596
Expected Total Nurse Staffing Hours per Resident per Day
4.63003
Adjusted CNA Staffing Hours per Resident per Day
2.52245
Adjusted LPN Staffing Hours per Resident per Day
0.93730
Adjusted RN Staffing Hours per Resident per Day
0.51389
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86968
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
4
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-01
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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