Orangegrove Rehabilitation Hospital - Garden Grove Nursing Home

General Information

UPDATE
Federal Provider Number
555021
Provider Name
ORANGEGROVE REHABILITATION HOSPITAL
Provider Address
12332 GARDEN GROVE BLVD.
GARDEN GROVE, CA 92843
Provider Phone Number
(714) 534-1041
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GARDEN GROVE MEDICAL INVESTORS LTD
Date First Approved to Provide Medicare and Medicaid services
1980-05-01
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
2
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
2.17903
Reported LPN Staffing Hours per Resident per Day
0.66667
Reported RN Staffing Hours per Resident per Day
0.62204
Reported Licensed Staffing Hours per Resident per Day
1.28871
Reported Total Nurse Staffing Hours per Resident per Day
3.46774
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05323
Expected CNA Staffing Hours per Resident per Day
2.77982
Expected LPN Staffing Hours per Resident per Day
0.76415
Expected RN Staffing Hours per Resident per Day
1.15386
Expected Total Nurse Staffing Hours per Resident per Day
4.69783
Adjusted CNA Staffing Hours per Resident per Day
1.92339
Adjusted LPN Staffing Hours per Resident per Day
0.72412
Adjusted RN Staffing Hours per Resident per Day
0.40281
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97544
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
58.66700
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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