Kearny Mesa Convalescent And Nursing Home - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
55286
Provider Name
KEARNY MESA CONVALESCENT AND NURSING HOME
Provider Address
7675 FAMILY CIRCLE DRIVE
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
Provider Phone Number
(858) 278-8121
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
Government - Federal
Number of Certified Beds
98
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF KEARNY MESA LLC
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.83706
Reported LPN Staffing Hours per Resident per Day
0.94824
Reported RN Staffing Hours per Resident per Day
1.18824
Reported Licensed Staffing Hours per Resident per Day
2.13647
Reported Total Nurse Staffing Hours per Resident per Day
4.97354
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17118
Expected CNA Staffing Hours per Resident per Day
2.44909
Expected LPN Staffing Hours per Resident per Day
0.58254
Expected RN Staffing Hours per Resident per Day
0.87716
Expected Total Nurse Staffing Hours per Resident per Day
3.90879
Adjusted CNA Staffing Hours per Resident per Day
2.84240
Adjusted LPN Staffing Hours per Resident per Day
1.35105
Adjusted RN Staffing Hours per Resident per Day
1.01219
Adjusted Total Nurse Staffing Hours per Resident per Day
5.12891
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
32
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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