Heritage Park Nursing Center - Upland Nursing Home
General Information
UPDATEFederal Provider Number
555514
Provider Name
HERITAGE PARK NURSING CENTER
Provider Address
275 GARNET WAY
UPLAND, CA 91786
UPLAND, CA 91786
Provider Phone Number
(909) 949-4887
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF UPLAND SNF, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-07-10
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.94167
Reported LPN Staffing Hours per Resident per Day
0.90530
Reported RN Staffing Hours per Resident per Day
0.75758
Reported Licensed Staffing Hours per Resident per Day
1.66288
Reported Total Nurse Staffing Hours per Resident per Day
4.60455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35152
Expected CNA Staffing Hours per Resident per Day
2.65920
Expected LPN Staffing Hours per Resident per Day
0.78238
Expected RN Staffing Hours per Resident per Day
1.31491
Expected Total Nurse Staffing Hours per Resident per Day
4.75649
Adjusted CNA Staffing Hours per Resident per Day
2.71434
Adjusted LPN Staffing Hours per Resident per Day
0.96041
Adjusted RN Staffing Hours per Resident per Day
0.43049
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90213
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
2
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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