Grand Terrace Care Center - Grand Terrace Nursing Home
General Information
UPDATEFederal Provider Number
55129
Provider Name
GRAND TERRACE CARE CENTER
Provider Address
12000 MT VERNON AVENUE
GRAND TERRACE, CA 92313
GRAND TERRACE, CA 92313
Provider Phone Number
9098255221
Provider SSA County
460
Provider County Name
San Bernardino
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND TERRACE HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-06-01
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
4
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
2.92593
Reported LPN Staffing Hours per Resident per Day
1.17870
Reported RN Staffing Hours per Resident per Day
1.30093
Reported Licensed Staffing Hours per Resident per Day
2.47963
Reported Total Nurse Staffing Hours per Resident per Day
5.40556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.62685
Expected CNA Staffing Hours per Resident per Day
2.90890
Expected LPN Staffing Hours per Resident per Day
0.94643
Expected RN Staffing Hours per Resident per Day
1.72084
Expected Total Nurse Staffing Hours per Resident per Day
5.57617
Adjusted CNA Staffing Hours per Resident per Day
2.46806
Adjusted LPN Staffing Hours per Resident per Day
1.03369
Adjusted RN Staffing Hours per Resident per Day
0.56487
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90757
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-17
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-23
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
1
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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Redlands Comm Hosp D/p Snf
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Comm. Hosp. Of San Bernardino Dp Snf
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