Huntington Valley Healthcare Center - Huntington Beach Nursing Home
General Information
UPDATEFederal Provider Number
55888
Provider Name
HUNTINGTON VALLEY HEALTHCARE CENTER
Provider Address
8382 NEWMAN AVENUE
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
Provider Phone Number
(714) 842-5551
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DOUGLAS FIR HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1968-02-01
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
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
2.43805
Reported LPN Staffing Hours per Resident per Day
1.40221
Reported RN Staffing Hours per Resident per Day
0.95265
Reported Licensed Staffing Hours per Resident per Day
2.35487
Reported Total Nurse Staffing Hours per Resident per Day
4.79291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21681
Expected CNA Staffing Hours per Resident per Day
2.62943
Expected LPN Staffing Hours per Resident per Day
0.86235
Expected RN Staffing Hours per Resident per Day
1.52387
Expected Total Nurse Staffing Hours per Resident per Day
5.01565
Adjusted CNA Staffing Hours per Resident per Day
2.27511
Adjusted LPN Staffing Hours per Resident per Day
1.34960
Adjusted RN Staffing Hours per Resident per Day
0.46711
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85189
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
36
Cycle 1 Standard Survey Health Date
2014-12-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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