Mission Care Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
55542
Provider Name
MISSION CARE CENTER
Provider Address
8487 MAGNOLIA AVENUE
RIVERSIDE, CA 92504
RIVERSIDE, CA 92504
Provider Phone Number
(951) 688-2222
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-11-19
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
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63056
Reported LPN Staffing Hours per Resident per Day
2.73750
Reported RN Staffing Hours per Resident per Day
1.95000
Reported Licensed Staffing Hours per Resident per Day
4.68750
Reported Total Nurse Staffing Hours per Resident per Day
7.31806
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07361
Expected CNA Staffing Hours per Resident per Day
2.65729
Expected LPN Staffing Hours per Resident per Day
1.32821
Expected RN Staffing Hours per Resident per Day
1.95152
Expected Total Nurse Staffing Hours per Resident per Day
5.93702
Adjusted CNA Staffing Hours per Resident per Day
2.42901
Adjusted LPN Staffing Hours per Resident per Day
1.71067
Adjusted RN Staffing Hours per Resident per Day
0.74662
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96855
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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