Palm Grove Health Care - Beaumont Nursing Home
General Information
UPDATEFederal Provider Number
555740
Provider Name
PALM GROVE HEALTH CARE
Provider Address
1665 EAST EIGHTH STREET
BEAUMONT, CA 92223
BEAUMONT, CA 92223
Provider Phone Number
9518453125
Provider SSA County
430
Provider County Name
Riverside
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1999-07-26
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.71531
Reported LPN Staffing Hours per Resident per Day
0.77551
Reported RN Staffing Hours per Resident per Day
0.51020
Reported Licensed Staffing Hours per Resident per Day
1.28571
Reported Total Nurse Staffing Hours per Resident per Day
4.00102
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02959
Expected CNA Staffing Hours per Resident per Day
2.28385
Expected LPN Staffing Hours per Resident per Day
0.53828
Expected RN Staffing Hours per Resident per Day
0.78921
Expected Total Nurse Staffing Hours per Resident per Day
3.61134
Adjusted CNA Staffing Hours per Resident per Day
2.91725
Adjusted LPN Staffing Hours per Resident per Day
1.19580
Adjusted RN Staffing Hours per Resident per Day
0.48304
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46585
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-15
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2013-02-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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