Rancho Mesa Care Center - Alta Loma Nursing Home
General Information
UPDATEFederal Provider Number
555521
Provider Name
RANCHO MESA CARE CENTER
Provider Address
9333 LA MESA DRIVE
ALTA LOMA, CA 91701
ALTA LOMA, CA 91701
Provider Phone Number
9099872501
Provider SSA County
460
Provider County Name
San Bernardino
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
P & M HEALTHCARE HOLDINGS INC
Date First Approved to Provide Medicare and Medicaid services
1992-07-14
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35185
Reported LPN Staffing Hours per Resident per Day
0.78333
Reported RN Staffing Hours per Resident per Day
0.42222
Reported Licensed Staffing Hours per Resident per Day
1.20556
Reported Total Nurse Staffing Hours per Resident per Day
3.55740
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03981
Expected CNA Staffing Hours per Resident per Day
2.42899
Expected LPN Staffing Hours per Resident per Day
0.54211
Expected RN Staffing Hours per Resident per Day
0.80088
Expected Total Nurse Staffing Hours per Resident per Day
3.77199
Adjusted CNA Staffing Hours per Resident per Day
2.37578
Adjusted LPN Staffing Hours per Resident per Day
1.19931
Adjusted RN Staffing Hours per Resident per Day
0.39392
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80158
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2013-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
52.66700
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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