Porterville Developmental Center - Porterville Nursing Home
General Information
UPDATEFederal Provider Number
05A198
Provider Name
PORTERVILLE DEVELOPMENTAL CENTER
Provider Address
26501 AVENUE 140
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
Provider Phone Number
(559) 782-2222
Provider SSA County
640
Provider County Name
Tulare
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
201
Number of Residents in Certified Beds
61
Provider Type
Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-09-01
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
Partial
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.84344
Reported LPN Staffing Hours per Resident per Day
4.21557
Reported RN Staffing Hours per Resident per Day
0.93607
Reported Licensed Staffing Hours per Resident per Day
5.15164
Reported Total Nurse Staffing Hours per Resident per Day
5.99508
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.75386
Expected LPN Staffing Hours per Resident per Day
0.97528
Expected RN Staffing Hours per Resident per Day
1.28183
Expected Total Nurse Staffing Hours per Resident per Day
5.01096
Adjusted CNA Staffing Hours per Resident per Day
0.75151
Adjusted LPN Staffing Hours per Resident per Day
3.58762
Adjusted RN Staffing Hours per Resident per Day
0.54565
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82254
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
4
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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