Plott Nursing Home - Ontario Nursing Home
General Information
UPDATEFederal Provider Number
55619
Provider Name
PLOTT NURSING HOME
Provider Address
800 EAST FIFTH STREET
ONTARIO, CA 91764
ONTARIO, CA 91764
Provider Phone Number
(909) 984-8629
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
216
Number of Residents in Certified Beds
179
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLOTT NURSING HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-06-01
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33073
Reported LPN Staffing Hours per Resident per Day
0.86117
Reported RN Staffing Hours per Resident per Day
0.51564
Reported Licensed Staffing Hours per Resident per Day
1.37682
Reported Total Nurse Staffing Hours per Resident per Day
3.70754
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05950
Expected CNA Staffing Hours per Resident per Day
2.57682
Expected LPN Staffing Hours per Resident per Day
0.72127
Expected RN Staffing Hours per Resident per Day
1.10953
Expected Total Nurse Staffing Hours per Resident per Day
4.40761
Adjusted CNA Staffing Hours per Resident per Day
2.21937
Adjusted LPN Staffing Hours per Resident per Day
0.99100
Adjusted RN Staffing Hours per Resident per Day
0.34725
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39066
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
26
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
156
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
80.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
11
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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