Kindred Hospital Brea D/p Snf - Brea Nursing Home
General Information
UPDATEFederal Provider Number
555859
Provider Name
KINDRED HOSPITAL BREA D/P SNF
Provider Address
875 N BREA BLVD
BREA, CA 92821
BREA, CA 92821
Provider Phone Number
7145296842
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THC-ORANGE COUNTY INC
Date First Approved to Provide Medicare and Medicaid services
2009-07-14
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.53448
Reported LPN Staffing Hours per Resident per Day
1.19138
Reported RN Staffing Hours per Resident per Day
2.62241
Reported Licensed Staffing Hours per Resident per Day
3.81379
Reported Total Nurse Staffing Hours per Resident per Day
6.34827
Reported Physical Therapist Staffing Hours per Resident Per Day
0.46379
Expected CNA Staffing Hours per Resident per Day
2.56906
Expected LPN Staffing Hours per Resident per Day
0.92675
Expected RN Staffing Hours per Resident per Day
2.14668
Expected Total Nurse Staffing Hours per Resident per Day
5.64249
Adjusted CNA Staffing Hours per Resident per Day
2.42068
Adjusted LPN Staffing Hours per Resident per Day
1.06700
Adjusted RN Staffing Hours per Resident per Day
0.91279
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53510
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
44
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
44
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
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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Park Regency Care Center
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