Poway Healthcare Center - Poway Nursing Home
General Information
UPDATEFederal Provider Number
555136
Provider Name
POWAY HEALTHCARE CENTER
Provider Address
15632 POMERADO ROAD
POWAY, CA 92064
POWAY, CA 92064
Provider Phone Number
(858) 485-5153
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
POPLAR HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1981-08-14
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33710
Reported LPN Staffing Hours per Resident per Day
1.08280
Reported RN Staffing Hours per Resident per Day
1.07419
Reported Licensed Staffing Hours per Resident per Day
2.15699
Reported Total Nurse Staffing Hours per Resident per Day
4.49409
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27366
Expected CNA Staffing Hours per Resident per Day
2.41835
Expected LPN Staffing Hours per Resident per Day
0.65717
Expected RN Staffing Hours per Resident per Day
1.11208
Expected Total Nurse Staffing Hours per Resident per Day
4.18760
Adjusted CNA Staffing Hours per Resident per Day
2.37126
Adjusted LPN Staffing Hours per Resident per Day
1.36758
Adjusted RN Staffing Hours per Resident per Day
0.72174
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32592
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
1
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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