Mission View Health Center - San Luis Obispo Nursing Home
General Information
UPDATEFederal Provider Number
55079
Provider Name
MISSION VIEW HEALTH CENTER
Provider Address
1425 WOODSIDE DR
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Provider Phone Number
(805) 543-0210
Provider SSA County
500
Provider County Name
San Luis Obispo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMPASS HEALTH INC
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
4.80520
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.85600
Reported Licensed Staffing Hours per Resident per Day
0.85600
Reported Total Nurse Staffing Hours per Resident per Day
5.66120
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14640
Expected CNA Staffing Hours per Resident per Day
2.52338
Expected LPN Staffing Hours per Resident per Day
0.67738
Expected RN Staffing Hours per Resident per Day
1.07140
Expected Total Nurse Staffing Hours per Resident per Day
4.27216
Adjusted CNA Staffing Hours per Resident per Day
4.67251
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.59698
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34149
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-11
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
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
2
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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