Kindred Transitional Care And Rehabilitation-villa - San Marcos Nursing Home
General Information
UPDATEFederal Provider Number
555754
Provider Name
KINDRED TRANSITIONAL CARE AND REHABILITATION-VILLA
Provider Address
1586 W. SAN MARCOS BLVD
SAN MARCOS, CA 92078
SAN MARCOS, CA 92078
Provider Phone Number
7604712986
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1999-12-28
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29048
Reported LPN Staffing Hours per Resident per Day
0.61905
Reported RN Staffing Hours per Resident per Day
0.97048
Reported Licensed Staffing Hours per Resident per Day
1.58952
Reported Total Nurse Staffing Hours per Resident per Day
3.88001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23952
Expected CNA Staffing Hours per Resident per Day
2.42396
Expected LPN Staffing Hours per Resident per Day
0.64465
Expected RN Staffing Hours per Resident per Day
1.16429
Expected Total Nurse Staffing Hours per Resident per Day
4.23290
Adjusted CNA Staffing Hours per Resident per Day
2.31858
Adjusted LPN Staffing Hours per Resident per Day
0.79705
Adjusted RN Staffing Hours per Resident per Day
0.62282
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69485
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
115
Cycle 2 Standard Health Survey Date
2014-01-09
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-01-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
67.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
4550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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