Manorcare Health Services-hemet - Hemet Nursing Home
General Information
UPDATEFederal Provider Number
555297
Provider Name
MANORCARE HEALTH SERVICES-HEMET
Provider Address
1717 WEST STETSON AVENUE
HEMET, CA 92545
HEMET, CA 92545
Provider Phone Number
(951) 925-9171
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
178
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF HEMET CA LLC
Date First Approved to Provide Medicare and Medicaid services
1988-02-19
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
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
2.14527
Reported LPN Staffing Hours per Resident per Day
1.07703
Reported RN Staffing Hours per Resident per Day
0.83716
Reported Licensed Staffing Hours per Resident per Day
1.91419
Reported Total Nurse Staffing Hours per Resident per Day
4.05946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22095
Expected CNA Staffing Hours per Resident per Day
2.46602
Expected LPN Staffing Hours per Resident per Day
0.75659
Expected RN Staffing Hours per Resident per Day
1.47256
Expected Total Nurse Staffing Hours per Resident per Day
4.69516
Adjusted CNA Staffing Hours per Resident per Day
2.13456
Adjusted LPN Staffing Hours per Resident per Day
1.18153
Adjusted RN Staffing Hours per Resident per Day
0.42479
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48514
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
9
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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