Mission Terrace Convalescent Hospital - Santa Barbara Nursing Home
General Information
UPDATEFederal Provider Number
55991
Provider Name
MISSION TERRACE CONVALESCENT HOSPITAL
Provider Address
623 W JUNIPERO ST
SANTA BARBARA, CA 93105
SANTA BARBARA, CA 93105
Provider Phone Number
(805) 682-7443
Provider SSA County
520
Provider County Name
Santa Barbara
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
96
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CLIFFVIEW TERRACE INC
Date First Approved to Provide Medicare and Medicaid services
1969-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.59844
Reported LPN Staffing Hours per Resident per Day
0.66146
Reported RN Staffing Hours per Resident per Day
0.99740
Reported Licensed Staffing Hours per Resident per Day
1.65885
Reported Total Nurse Staffing Hours per Resident per Day
5.25730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.50573
Expected CNA Staffing Hours per Resident per Day
2.44271
Expected LPN Staffing Hours per Resident per Day
0.57630
Expected RN Staffing Hours per Resident per Day
1.09356
Expected Total Nurse Staffing Hours per Resident per Day
4.11257
Adjusted CNA Staffing Hours per Resident per Day
3.61464
Adjusted LPN Staffing Hours per Resident per Day
0.95265
Adjusted RN Staffing Hours per Resident per Day
0.68150
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15290
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
39.33300
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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