Presidio Health Care Center - Spring Valley Nursing Home
General Information
UPDATEFederal Provider Number
56062
Provider Name
PRESIDIO HEALTH CARE CENTER
Provider Address
8625 LAMAR STREET
SPRING VALLEY, CA 91977
SPRING VALLEY, CA 91977
Provider Phone Number
(619) 461-3222
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
B-EAST, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.63636
Reported LPN Staffing Hours per Resident per Day
0.72045
Reported RN Staffing Hours per Resident per Day
1.08864
Reported Licensed Staffing Hours per Resident per Day
1.80909
Reported Total Nurse Staffing Hours per Resident per Day
4.44545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32500
Expected CNA Staffing Hours per Resident per Day
2.19748
Expected LPN Staffing Hours per Resident per Day
0.62737
Expected RN Staffing Hours per Resident per Day
1.24885
Expected Total Nurse Staffing Hours per Resident per Day
4.07370
Adjusted CNA Staffing Hours per Resident per Day
2.94375
Adjusted LPN Staffing Hours per Resident per Day
0.95314
Adjusted RN Staffing Hours per Resident per Day
0.65135
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39875
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
368
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
368
Cycle 2 Total Number of Health Deficiencies
31
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
17
Cycle 2 Health Deficiency Score
180
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
180
Cycle 3 Total Number of Health Deficiencies
33
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2013-02-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
176
Total Weighted Health Survey Score
273.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
12
Number of Fines
2
Total Amount of Fines in Dollars
88300
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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