Park Anaheim Healthcare Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
555035
Provider Name
PARK ANAHEIM HEALTHCARE CENTER
Provider Address
3435 W BALL ROAD
ANAHEIM, CA 92804
ANAHEIM, CA 92804
Provider Phone Number
(714) 827-5880
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK ANAHEIM HEALTH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-11-23
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.29714
Reported LPN Staffing Hours per Resident per Day
1.70048
Reported RN Staffing Hours per Resident per Day
0.87429
Reported Licensed Staffing Hours per Resident per Day
2.57476
Reported Total Nurse Staffing Hours per Resident per Day
4.87191
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10905
Expected CNA Staffing Hours per Resident per Day
2.60313
Expected LPN Staffing Hours per Resident per Day
1.01050
Expected RN Staffing Hours per Resident per Day
1.64116
Expected Total Nurse Staffing Hours per Resident per Day
5.25480
Adjusted CNA Staffing Hours per Resident per Day
2.16527
Adjusted LPN Staffing Hours per Resident per Day
1.39673
Adjusted RN Staffing Hours per Resident per Day
0.39805
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73719
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
33
Cycle 3 Number of Standard Health Deficiencies
30
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
133.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
12
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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