Mission Palms Healthcare Center - Westminster Nursing Home

General Information

UPDATE
Federal Provider Number
56271
Provider Name
MISSION PALMS HEALTHCARE CENTER
Provider Address
240 HOSPITAL CIRCLE
WESTMINSTER, CA 92683
Provider Phone Number
(714) 892-6686
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AWHC,LLC
Date First Approved to Provide Medicare and Medicaid services
1971-02-22
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
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
2.93412
Reported LPN Staffing Hours per Resident per Day
0.91941
Reported RN Staffing Hours per Resident per Day
0.99000
Reported Licensed Staffing Hours per Resident per Day
1.90941
Reported Total Nurse Staffing Hours per Resident per Day
4.84353
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26824
Expected CNA Staffing Hours per Resident per Day
2.66472
Expected LPN Staffing Hours per Resident per Day
0.67663
Expected RN Staffing Hours per Resident per Day
1.11977
Expected Total Nurse Staffing Hours per Resident per Day
4.46112
Adjusted CNA Staffing Hours per Resident per Day
2.70177
Adjusted LPN Staffing Hours per Resident per Day
1.12780
Adjusted RN Staffing Hours per Resident per Day
0.66061
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37643
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-04-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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