Greenfield Care Center Of Fullerton, Llc - Fullerton Nursing Home
General Information
UPDATEFederal Provider Number
56151
Provider Name
GREENFIELD CARE CENTER OF FULLERTON, LLC
Provider Address
330 W. BASTANCHURY ROAD
FULLERTON, CA 92835
FULLERTON, CA 92835
Provider Phone Number
7148794511
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENFIELD CARE CENTER OF FULLERTON, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-23
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41484
Reported LPN Staffing Hours per Resident per Day
0.94231
Reported RN Staffing Hours per Resident per Day
0.49396
Reported Licensed Staffing Hours per Resident per Day
1.43626
Reported Total Nurse Staffing Hours per Resident per Day
3.85111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10989
Expected CNA Staffing Hours per Resident per Day
2.37982
Expected LPN Staffing Hours per Resident per Day
0.61880
Expected RN Staffing Hours per Resident per Day
1.00108
Expected Total Nurse Staffing Hours per Resident per Day
3.99969
Adjusted CNA Staffing Hours per Resident per Day
2.48981
Adjusted LPN Staffing Hours per Resident per Day
1.26393
Adjusted RN Staffing Hours per Resident per Day
0.36869
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88116
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-09-25
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
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
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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