Magnolia Rehabilitation & Nursing Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
55474
Provider Name
MAGNOLIA REHABILITATION & NURSING CENTER
Provider Address
8133 MAGNOLIA AVENUE
RIVERSIDE, CA 92504
RIVERSIDE, CA 92504
Provider Phone Number
(951) 688-4321
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALIFORNIAN MAGNOLIA CONVALESCENT
Date First Approved to Provide Medicare and Medicaid services
1971-02-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
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
2.59856
Reported LPN Staffing Hours per Resident per Day
1.53173
Reported RN Staffing Hours per Resident per Day
0.88365
Reported Licensed Staffing Hours per Resident per Day
2.41538
Reported Total Nurse Staffing Hours per Resident per Day
5.01394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11106
Expected CNA Staffing Hours per Resident per Day
2.39972
Expected LPN Staffing Hours per Resident per Day
0.72124
Expected RN Staffing Hours per Resident per Day
1.48887
Expected Total Nurse Staffing Hours per Resident per Day
4.60983
Adjusted CNA Staffing Hours per Resident per Day
2.65701
Adjusted LPN Staffing Hours per Resident per Day
1.76270
Adjusted RN Staffing Hours per Resident per Day
0.44347
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38426
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
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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