Meadowbrook Health Care Center - Hemet Nursing Home
General Information
UPDATEFederal Provider Number
55401
Provider Name
MEADOWBROOK HEALTH CARE CENTER
Provider Address
461 E. JOHNSTON AVENUE
HEMET, CA 92543
HEMET, CA 92543
Provider Phone Number
(951) 658-6374
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNRE CARE LLC
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.65408
Reported LPN Staffing Hours per Resident per Day
1.44184
Reported RN Staffing Hours per Resident per Day
0.19694
Reported Licensed Staffing Hours per Resident per Day
1.63878
Reported Total Nurse Staffing Hours per Resident per Day
5.29286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05102
Expected CNA Staffing Hours per Resident per Day
2.35051
Expected LPN Staffing Hours per Resident per Day
0.54249
Expected RN Staffing Hours per Resident per Day
0.84632
Expected Total Nurse Staffing Hours per Resident per Day
3.73932
Adjusted CNA Staffing Hours per Resident per Day
3.81450
Adjusted LPN Staffing Hours per Resident per Day
2.20597
Adjusted RN Staffing Hours per Resident per Day
0.17388
Adjusted Total Nurse Staffing Hours per Resident per Day
5.70558
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
96
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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