Healthcare Center Of Bella Vista - Ontario Nursing Home
General Information
UPDATEFederal Provider Number
55693
Provider Name
HEALTHCARE CENTER OF BELLA VISTA
Provider Address
933 EAST DEODAR STREET
ONTARIO, CA 91764
ONTARIO, CA 91764
Provider Phone Number
(909) 985-2731
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
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
KF BELLA VISTA LLC
Date First Approved to Provide Medicare and Medicaid services
1971-09-01
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
3
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
2.23056
Reported LPN Staffing Hours per Resident per Day
0.88426
Reported RN Staffing Hours per Resident per Day
0.64167
Reported Licensed Staffing Hours per Resident per Day
1.52593
Reported Total Nurse Staffing Hours per Resident per Day
3.75649
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11481
Expected CNA Staffing Hours per Resident per Day
2.48243
Expected LPN Staffing Hours per Resident per Day
0.59078
Expected RN Staffing Hours per Resident per Day
0.90862
Expected Total Nurse Staffing Hours per Resident per Day
3.98182
Adjusted CNA Staffing Hours per Resident per Day
2.20475
Adjusted LPN Staffing Hours per Resident per Day
1.24232
Adjusted RN Staffing Hours per Resident per Day
0.52768
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80279
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-08-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
3
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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