Golden Hill Subacute & Rehab Ctr - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
56182
Provider Name
GOLDEN HILL SUBACUTE & REHAB CTR
Provider Address
1201 34TH ST.
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
Provider Phone Number
(619) 232-2946
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR HEALTHCARE GOLDEN PALMS LLC
Date First Approved to Provide Medicare and Medicaid services
1972-08-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.21839
Reported LPN Staffing Hours per Resident per Day
1.15517
Reported RN Staffing Hours per Resident per Day
1.03333
Reported Licensed Staffing Hours per Resident per Day
2.18851
Reported Total Nurse Staffing Hours per Resident per Day
4.40689
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20172
Expected CNA Staffing Hours per Resident per Day
2.66605
Expected LPN Staffing Hours per Resident per Day
0.90286
Expected RN Staffing Hours per Resident per Day
1.40553
Expected Total Nurse Staffing Hours per Resident per Day
4.97444
Adjusted CNA Staffing Hours per Resident per Day
2.04170
Adjusted LPN Staffing Hours per Resident per Day
1.06195
Adjusted RN Staffing Hours per Resident per Day
0.54933
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57100
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
160
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
66
Cycle 3 Total Health Score
198
Total Weighted Health Survey Score
92.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
27300
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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