Leisure Court Nursing Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
555520
Provider Name
LEISURE COURT NURSING CENTER
Provider Address
1135 LEISURE COURT
ANAHEIM, CA 92801
ANAHEIM, CA 92801
Provider Phone Number
7147721353
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1135 N. LEISURE CT., INC.
Date First Approved to Provide Medicare and Medicaid services
1992-09-15
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.72713
Reported LPN Staffing Hours per Resident per Day
0.96330
Reported RN Staffing Hours per Resident per Day
0.82287
Reported Licensed Staffing Hours per Resident per Day
1.78617
Reported Total Nurse Staffing Hours per Resident per Day
5.51330
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08138
Expected CNA Staffing Hours per Resident per Day
2.46222
Expected LPN Staffing Hours per Resident per Day
0.60011
Expected RN Staffing Hours per Resident per Day
0.96752
Expected Total Nurse Staffing Hours per Resident per Day
4.02985
Adjusted CNA Staffing Hours per Resident per Day
3.71423
Adjusted LPN Staffing Hours per Resident per Day
1.33232
Adjusted RN Staffing Hours per Resident per Day
0.63549
Adjusted Total Nurse Staffing Hours per Resident per Day
5.51474
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-21
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
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
36.00000
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
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