Knott Avenue Care Center - Buena Park Nursing Home
General Information
UPDATEFederal Provider Number
55674
Provider Name
KNOTT AVENUE CARE CENTER
Provider Address
9021 KNOTT AVE
BUENA PARK, CA 90620
BUENA PARK, CA 90620
Provider Phone Number
7148262330
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KNOTT AVENUE CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77444
Reported LPN Staffing Hours per Resident per Day
2.44556
Reported RN Staffing Hours per Resident per Day
0.81000
Reported Licensed Staffing Hours per Resident per Day
3.25556
Reported Total Nurse Staffing Hours per Resident per Day
6.03000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01444
Expected CNA Staffing Hours per Resident per Day
2.71050
Expected LPN Staffing Hours per Resident per Day
1.17186
Expected RN Staffing Hours per Resident per Day
1.62203
Expected Total Nurse Staffing Hours per Resident per Day
5.50439
Adjusted CNA Staffing Hours per Resident per Day
2.51159
Adjusted LPN Staffing Hours per Resident per Day
1.73213
Adjusted RN Staffing Hours per Resident per Day
0.37313
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41581
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
80
Cycle 2 Standard Health Survey Date
2014-01-31
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
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Anaheim Terrace Care Center
141 South Knott Avenue |
ANAHEIM CA 92804 | 0.1 mile away
Buena Park Nursing Center
8520 Western Avenue |
BUENA PARK CA 90620 | 0.8 mile away
Park Anaheim Healthcare Center
3435 W Ball Road |
ANAHEIM CA 92804 | 0.9 mile away
Windsor Gardens Convalescent Center Of Anaheim
3415 W Ball Road |
ANAHEIM CA 92804 | 0.9 mile away
Anaheim Crest Nursing Center
3067 W Orange Avenue |
ANAHEIM CA 92804 | 0.9 mile away
West Anaheim Medical Center D/p Snf
3033 W Orange Ave |
ANAHEIM CA 92804 | 1 mile away
Anaheim Healthcare Center, Llc
501 South Beach Blvd. |
ANAHEIM CA 92804 | 1.1 miles away
West Anaheim Extended Care
645 South Beach Blvd. |
ANAHEIM CA 92804 | 1.1 miles away
Rowntree Gardens
12151 Dale Avenue |
STANTON CA 90680 | 3.5 miles away
Alamitos West Health Care Center
3902 Katella Avenue |
LOS ALAMITOS CA 90720 | 3.6 miles away
Sun Mar Nursing Center
1720 West Orange Avenue |
ANAHEIM CA 92804 | 4 miles away
Buena Vista Care Center
1440 S Euclid Avenue |
ANAHEIM CA 92802 | 4.3 miles away
Garden Grove Convalescent Hosp
12882 Shackelford Lane |
GARDEN GROVE CA 92841 | 4.4 miles away
Coventry Court Health Center
2040 S. Euclid Avenue |
ANAHEIM CA 92802 | 4.7 miles away
Mission Palms Healthcare Center
240 Hospital Circle |
WESTMINSTER CA 92683 | 4.7 miles away
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