Mission Hills Health Care, Inc - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
555630
Provider Name
MISSION HILLS HEALTH CARE, INC
Provider Address
4033 SIXTH AVENUE EXT
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
Provider Phone Number
(619) 297-4086
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MISSION HILLS HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1995-03-22
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.13351
Reported LPN Staffing Hours per Resident per Day
0.27606
Reported RN Staffing Hours per Resident per Day
0.62766
Reported Licensed Staffing Hours per Resident per Day
0.90372
Reported Total Nurse Staffing Hours per Resident per Day
4.03723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.64251
Expected LPN Staffing Hours per Resident per Day
0.60546
Expected RN Staffing Hours per Resident per Day
0.84707
Expected Total Nurse Staffing Hours per Resident per Day
4.09505
Adjusted CNA Staffing Hours per Resident per Day
2.90961
Adjusted LPN Staffing Hours per Resident per Day
0.37844
Adjusted RN Staffing Hours per Resident per Day
0.55366
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97399
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
32
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
140
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-12-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
1
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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