Garden Park Care Center - Garden Grove Nursing Home
General Information
UPDATEFederal Provider Number
555667
Provider Name
GARDEN PARK CARE CENTER
Provider Address
12681 HASTER STREET
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
Provider Phone Number
(714) 971-2153
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GARDEN PARK CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-16
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
4
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
2.71091
Reported LPN Staffing Hours per Resident per Day
0.97545
Reported RN Staffing Hours per Resident per Day
0.95818
Reported Licensed Staffing Hours per Resident per Day
1.93364
Reported Total Nurse Staffing Hours per Resident per Day
4.64454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10773
Expected CNA Staffing Hours per Resident per Day
2.74901
Expected LPN Staffing Hours per Resident per Day
0.93069
Expected RN Staffing Hours per Resident per Day
1.35823
Expected Total Nurse Staffing Hours per Resident per Day
5.03793
Adjusted CNA Staffing Hours per Resident per Day
2.41969
Adjusted LPN Staffing Hours per Resident per Day
0.86992
Adjusted RN Staffing Hours per Resident per Day
0.52712
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71615
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
91.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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