Orange Tree Nursing Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
555017
Provider Name
ORANGE TREE NURSING CENTER
Provider Address
4000 HARRISON STREET
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
Provider Phone Number
(951) 785-6060
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORANGETREE CONVALESCENT HOSPITAL, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-04-22
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
2.25417
Reported LPN Staffing Hours per Resident per Day
1.12386
Reported RN Staffing Hours per Resident per Day
0.50303
Reported Licensed Staffing Hours per Resident per Day
1.62689
Reported Total Nurse Staffing Hours per Resident per Day
3.88106
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.50328
Expected LPN Staffing Hours per Resident per Day
0.66649
Expected RN Staffing Hours per Resident per Day
0.91968
Expected Total Nurse Staffing Hours per Resident per Day
4.08944
Adjusted CNA Staffing Hours per Resident per Day
2.20952
Adjusted LPN Staffing Hours per Resident per Day
1.39959
Adjusted RN Staffing Hours per Resident per Day
0.40869
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82550
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-13
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
17
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
1500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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