Healthbridge Children's Hospital - Orange D/p Snf - Orange Nursing Home
General Information
UPDATEFederal Provider Number
555753
Provider Name
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF
Provider Address
393 S TUSTIN ST
ORANGE, CA 92866
ORANGE, CA 92866
Provider Phone Number
(714) 289-2400
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
21
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HEALTHBRIDGE CHILDREN'S HOSPITAL ORANGE CA LP
Date First Approved to Provide Medicare and Medicaid services
2000-02-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.14211
Reported LPN Staffing Hours per Resident per Day
3.57895
Reported RN Staffing Hours per Resident per Day
4.20000
Reported Licensed Staffing Hours per Resident per Day
7.77895
Reported Total Nurse Staffing Hours per Resident per Day
11.92106
Reported Physical Therapist Staffing Hours per Resident Per Day
0.63684
Expected CNA Staffing Hours per Resident per Day
2.82085
Expected LPN Staffing Hours per Resident per Day
1.31265
Expected RN Staffing Hours per Resident per Day
2.04542
Expected Total Nurse Staffing Hours per Resident per Day
6.17893
Adjusted CNA Staffing Hours per Resident per Day
3.60299
Adjusted LPN Staffing Hours per Resident per Day
2.26300
Adjusted RN Staffing Hours per Resident per Day
1.53428
Adjusted Total Nurse Staffing Hours per Resident per Day
7.77685
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
32.66700
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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