Rady Children's Convalescent Hospital D/p Snf - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
05A292
Provider Name
RADY CHILDREN'S CONVALESCENT HOSPITAL D/P SNF
Provider Address
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
Provider Phone Number
(858) 966-5833
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
40
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
1977-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
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
4.05250
Reported LPN Staffing Hours per Resident per Day
1.36750
Reported RN Staffing Hours per Resident per Day
2.24625
Reported Licensed Staffing Hours per Resident per Day
3.61375
Reported Total Nurse Staffing Hours per Resident per Day
7.66625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01375
Expected CNA Staffing Hours per Resident per Day
2.75726
Expected LPN Staffing Hours per Resident per Day
1.12185
Expected RN Staffing Hours per Resident per Day
1.50342
Expected Total Nurse Staffing Hours per Resident per Day
5.38254
Adjusted CNA Staffing Hours per Resident per Day
3.60634
Adjusted LPN Staffing Hours per Resident per Day
1.01174
Adjusted RN Staffing Hours per Resident per Day
1.11638
Adjusted Total Nurse Staffing Hours per Resident per Day
5.74114
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
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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