Harbor Villa Care Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
55742
Provider Name
HARBOR VILLA CARE CENTER
Provider Address
861 S. HARBOR BLVD
ANAHEIM, CA 92805
ANAHEIM, CA 92805
Provider Phone Number
7146358131
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CASA PACIFICA NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1967-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88418
Reported LPN Staffing Hours per Resident per Day
1.00063
Reported RN Staffing Hours per Resident per Day
0.61266
Reported Licensed Staffing Hours per Resident per Day
1.61329
Reported Total Nurse Staffing Hours per Resident per Day
4.49747
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12215
Expected CNA Staffing Hours per Resident per Day
2.41059
Expected LPN Staffing Hours per Resident per Day
0.63800
Expected RN Staffing Hours per Resident per Day
1.10557
Expected Total Nurse Staffing Hours per Resident per Day
4.15415
Adjusted CNA Staffing Hours per Resident per Day
2.93577
Adjusted LPN Staffing Hours per Resident per Day
1.30176
Adjusted RN Staffing Hours per Resident per Day
0.41407
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36403
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-29
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
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
78.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
Walnut Village Rehabilitation And Care Center
1401 W Ball Road |
ANAHEIM CA 92802 | 0.9 mile away
Sun Mar Nursing Center
1720 West Orange Avenue |
ANAHEIM CA 92804 | 1.5 miles away
Parkview Healthcare Center
1514 E. Lincoln Avenue |
ANAHEIM CA 92805 | 1.6 miles away
Buena Vista Care Center
1440 S Euclid Avenue |
ANAHEIM CA 92802 | 1.6 miles away
La Palma Nursing Center
1130 La Palma Ave |
ANAHEIM CA 92801 | 1.8 miles away
Leisure Court Nursing Center
1135 Leisure Court |
ANAHEIM CA 92801 | 1.9 miles away
Coventry Court Health Center
2040 S. Euclid Avenue |
ANAHEIM CA 92802 | 2.3 miles away
Chapman Care Center
12232 Chapman Ave |
GARDEN GROVE CA 92840 | 2.4 miles away
Garden Park Care Center
12681 Haster Street |
GARDEN GROVE CA 92840 | 3.1 miles away
Orangegrove Rehabilitation Hospital
12332 Garden Grove Blvd. |
GARDEN GROVE CA 92843 | 3.4 miles away
Windsor Gardens Care Center Of Fullerton
245 E Wilshire Avenue |
FULLERTON CA 92832 | 3.4 miles away
Alta Gardens Care Center
13075 Blackbird Street |
GARDEN GROVE CA 92843 | 3.4 miles away
Gordon Lane Care Center
1821 E Chapman Ave |
FULLERTON CA 92831 | 3.7 miles away
Fountain Care Center
1835 West La Veta Avenue |
ORANGE CA 92868 | 3.9 miles away
Pacific Haven Subacute And Healthcare Center
12072 Trask Ave. |
GARDEN GROVE CA 92843 | 3.9 miles away
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