Inland Christian Home - Ontario Nursing Home
General Information
UPDATEFederal Provider Number
555108
Provider Name
INLAND CHRISTIAN HOME
Provider Address
1950 S. MOUNTAIN AVE
ONTARIO, CA 91762
ONTARIO, CA 91762
Provider Phone Number
(909) 983-2315
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
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INLAND CHRISTIAN HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-02-16
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
2.69904
Reported LPN Staffing Hours per Resident per Day
0.99615
Reported RN Staffing Hours per Resident per Day
0.55577
Reported Licensed Staffing Hours per Resident per Day
1.55192
Reported Total Nurse Staffing Hours per Resident per Day
4.25096
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10962
Expected CNA Staffing Hours per Resident per Day
2.57876
Expected LPN Staffing Hours per Resident per Day
0.69183
Expected RN Staffing Hours per Resident per Day
1.05077
Expected Total Nurse Staffing Hours per Resident per Day
4.32136
Adjusted CNA Staffing Hours per Resident per Day
2.56815
Adjusted LPN Staffing Hours per Resident per Day
1.19509
Adjusted RN Staffing Hours per Resident per Day
0.39521
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96524
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
96
Cycle 2 Standard Health Survey Date
2013-08-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
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
20
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
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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