Newport Subacute Healthcare Center - Costa Mesa Nursing Home
General Information
UPDATEFederal Provider Number
555751
Provider Name
NEWPORT SUBACUTE HEALTHCARE CENTER
Provider Address
2570 NEWPORT BLVD
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Provider Phone Number
(949) 631-4282
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COSTA MESA HEALTHCARE INC.
Date First Approved to Provide Medicare and Medicaid services
1999-12-02
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
4
QM Rating Footnote
Staffing Rating
4
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
3.09000
Reported LPN Staffing Hours per Resident per Day
1.69333
Reported RN Staffing Hours per Resident per Day
0.93667
Reported Licensed Staffing Hours per Resident per Day
2.63000
Reported Total Nurse Staffing Hours per Resident per Day
5.72000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00600
Expected CNA Staffing Hours per Resident per Day
2.74178
Expected LPN Staffing Hours per Resident per Day
1.00251
Expected RN Staffing Hours per Resident per Day
1.40157
Expected Total Nurse Staffing Hours per Resident per Day
5.14586
Adjusted CNA Staffing Hours per Resident per Day
2.76533
Adjusted LPN Staffing Hours per Resident per Day
1.40194
Adjusted RN Staffing Hours per Resident per Day
0.49936
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48064
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-06
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
24
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-05-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-06-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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