Glenbrook At La Costa Glen - Carlsbad Nursing Home
General Information
UPDATEFederal Provider Number
555806
Provider Name
GLENBROOK AT LA COSTA GLEN
Provider Address
1950 CALLE BARCELONA
CARLSBAD, CA 92009
CARLSBAD, CA 92009
Provider Phone Number
7607046802
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
67
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GLENBROOK HC LLC
Date First Approved to Provide Medicare and Medicaid services
2004-05-13
Continuing Care Retirement Community
Y
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
5
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
2.95000
Reported LPN Staffing Hours per Resident per Day
1.18433
Reported RN Staffing Hours per Resident per Day
0.78806
Reported Licensed Staffing Hours per Resident per Day
1.97239
Reported Total Nurse Staffing Hours per Resident per Day
4.92239
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09925
Expected CNA Staffing Hours per Resident per Day
2.57604
Expected LPN Staffing Hours per Resident per Day
0.62969
Expected RN Staffing Hours per Resident per Day
0.95151
Expected Total Nurse Staffing Hours per Resident per Day
4.15724
Adjusted CNA Staffing Hours per Resident per Day
2.80990
Adjusted LPN Staffing Hours per Resident per Day
1.56108
Adjusted RN Staffing Hours per Resident per Day
0.61884
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77280
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-11
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
2
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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