Lompoc Skilled Nursing & Rehabilitation Center - Lompoc Nursing Home
General Information
UPDATEFederal Provider Number
555830
Provider Name
LOMPOC SKILLED NURSING & REHABILITATION CENTER
Provider Address
1428 W NORTH AVE
LOMPOC, CA 93436
LOMPOC, CA 93436
Provider Phone Number
(805) 735-4010
Provider SSA County
520
Provider County Name
Santa Barbara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GHC OF LOMPOC LLC
Date First Approved to Provide Medicare and Medicaid services
2005-12-19
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55856
Reported LPN Staffing Hours per Resident per Day
1.00270
Reported RN Staffing Hours per Resident per Day
0.58423
Reported Licensed Staffing Hours per Resident per Day
1.58694
Reported Total Nurse Staffing Hours per Resident per Day
4.14549
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12162
Expected CNA Staffing Hours per Resident per Day
2.57398
Expected LPN Staffing Hours per Resident per Day
0.59477
Expected RN Staffing Hours per Resident per Day
0.88235
Expected Total Nurse Staffing Hours per Resident per Day
4.05110
Adjusted CNA Staffing Hours per Resident per Day
2.43900
Adjusted LPN Staffing Hours per Resident per Day
1.39927
Adjusted RN Staffing Hours per Resident per Day
0.49474
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12482
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
60
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
60
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
8
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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