Porterville Convalescent Hosp - Porterville Nursing Home
General Information
UPDATEFederal Provider Number
555658
Provider Name
PORTERVILLE CONVALESCENT HOSP
Provider Address
1100 WEST MORTON AVENUE
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
Provider Phone Number
(559) 782-1509
Provider SSA County
640
Provider County Name
Tulare
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PORTERVILLE CONVALESCENT, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-01-19
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.65167
Reported LPN Staffing Hours per Resident per Day
0.98833
Reported RN Staffing Hours per Resident per Day
0.40167
Reported Licensed Staffing Hours per Resident per Day
1.39000
Reported Total Nurse Staffing Hours per Resident per Day
4.04167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04611
Expected CNA Staffing Hours per Resident per Day
2.39342
Expected LPN Staffing Hours per Resident per Day
0.59110
Expected RN Staffing Hours per Resident per Day
0.96697
Expected Total Nurse Staffing Hours per Resident per Day
3.95150
Adjusted CNA Staffing Hours per Resident per Day
2.71845
Adjusted LPN Staffing Hours per Resident per Day
1.38778
Adjusted RN Staffing Hours per Resident per Day
0.31038
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12288
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
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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