Linda Valley Care Center - Loma Linda Nursing Home
General Information
UPDATEFederal Provider Number
55299
Provider Name
LINDA VALLEY CARE CENTER
Provider Address
25383 COLE STREET
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
Provider Phone Number
(909) 796-0235
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHANCELLOR HEALTH CARE OF CALIFORNIA I INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.56957
Reported LPN Staffing Hours per Resident per Day
0.98406
Reported RN Staffing Hours per Resident per Day
0.73551
Reported Licensed Staffing Hours per Resident per Day
1.71957
Reported Total Nurse Staffing Hours per Resident per Day
4.28914
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09130
Expected CNA Staffing Hours per Resident per Day
2.65554
Expected LPN Staffing Hours per Resident per Day
0.86846
Expected RN Staffing Hours per Resident per Day
1.39980
Expected Total Nurse Staffing Hours per Resident per Day
4.92380
Adjusted CNA Staffing Hours per Resident per Day
2.37427
Adjusted LPN Staffing Hours per Resident per Day
0.94049
Adjusted RN Staffing Hours per Resident per Day
0.39261
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51133
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
462
Cycle 2 Standard Health Survey Date
2013-08-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
462
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
418
Cycle 3 Standard Health Survey Date
2012-10-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
209
Cycle 3 Total Health Score
627
Total Weighted Health Survey Score
288.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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