Mt. Rubidoux Nursing Center - Rubidoux Nursing Home
General Information
UPDATEFederal Provider Number
55581
Provider Name
MT. RUBIDOUX NURSING CENTER
Provider Address
6401 33RD STREET.
RUBIDOUX, CA 92509
RUBIDOUX, CA 92509
Provider Phone Number
(951) 681-2200
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
143
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MT RUBIDOUX CONVALESCENT HOSPITAL, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-11-01
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35480
Reported LPN Staffing Hours per Resident per Day
0.77720
Reported RN Staffing Hours per Resident per Day
0.62160
Reported Licensed Staffing Hours per Resident per Day
1.39880
Reported Total Nurse Staffing Hours per Resident per Day
3.75360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03160
Expected CNA Staffing Hours per Resident per Day
2.41898
Expected LPN Staffing Hours per Resident per Day
0.70269
Expected RN Staffing Hours per Resident per Day
0.99626
Expected Total Nurse Staffing Hours per Resident per Day
4.11793
Adjusted CNA Staffing Hours per Resident per Day
2.38860
Adjusted LPN Staffing Hours per Resident per Day
0.91801
Adjusted RN Staffing Hours per Resident per Day
0.46620
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67427
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
2
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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