Indio Nursing And Rehabilitation Center - Indio Nursing Home
General Information
UPDATEFederal Provider Number
555742
Provider Name
INDIO NURSING AND REHABILITATION CENTER
Provider Address
47-763 MONROE AVENUE
INDIO, CA 92201
INDIO, CA 92201
Provider Phone Number
(760) 347-0750
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INDIO NURSING AND REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1999-09-13
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
3
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
2.82528
Reported LPN Staffing Hours per Resident per Day
2.55787
Reported RN Staffing Hours per Resident per Day
0.94157
Reported Licensed Staffing Hours per Resident per Day
3.49944
Reported Total Nurse Staffing Hours per Resident per Day
6.32472
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12865
Expected CNA Staffing Hours per Resident per Day
2.65479
Expected LPN Staffing Hours per Resident per Day
1.00276
Expected RN Staffing Hours per Resident per Day
1.44540
Expected Total Nurse Staffing Hours per Resident per Day
5.10295
Adjusted CNA Staffing Hours per Resident per Day
2.61127
Adjusted LPN Staffing Hours per Resident per Day
2.11720
Adjusted RN Staffing Hours per Resident per Day
0.48674
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99599
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-12
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
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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