Lantern Health Crescent City - Crescent City Nursing Home
General Information
UPDATEFederal Provider Number
56296
Provider Name
LANTERN HEALTH CRESCENT CITY
Provider Address
1280 MARSHALL AVE
CRESCENT CITY, CA 95531
CRESCENT CITY, CA 95531
Provider Phone Number
7074646151
Provider SSA County
70
Provider County Name
Del Norte
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHSHORE INVESTMENTS, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-09-14
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.71186
Reported LPN Staffing Hours per Resident per Day
0.94915
Reported RN Staffing Hours per Resident per Day
0.67797
Reported Licensed Staffing Hours per Resident per Day
1.62712
Reported Total Nurse Staffing Hours per Resident per Day
4.33898
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02458
Expected CNA Staffing Hours per Resident per Day
2.24174
Expected LPN Staffing Hours per Resident per Day
0.61995
Expected RN Staffing Hours per Resident per Day
1.05543
Expected Total Nurse Staffing Hours per Resident per Day
3.91712
Adjusted CNA Staffing Hours per Resident per Day
2.96827
Adjusted LPN Staffing Hours per Resident per Day
1.27073
Adjusted RN Staffing Hours per Resident per Day
0.47997
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46501
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-10-31
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
20
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
176
Total Weighted Health Survey Score
115.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
10
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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