Rimrock Villa Conv Hospital - Barstow Nursing Home

General Information

UPDATE
Federal Provider Number
555162
Provider Name
RIMROCK VILLA CONV HOSPITAL
Provider Address
27555 RIMROCK ROAD
BARSTOW, CA 92311
Provider Phone Number
7602522515
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
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1983-11-15
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24444
Reported LPN Staffing Hours per Resident per Day
1.25648
Reported RN Staffing Hours per Resident per Day
0.56204
Reported Licensed Staffing Hours per Resident per Day
1.81852
Reported Total Nurse Staffing Hours per Resident per Day
4.06296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26296
Expected CNA Staffing Hours per Resident per Day
2.68961
Expected LPN Staffing Hours per Resident per Day
0.78210
Expected RN Staffing Hours per Resident per Day
1.24346
Expected Total Nurse Staffing Hours per Resident per Day
4.71516
Adjusted CNA Staffing Hours per Resident per Day
2.04758
Adjusted LPN Staffing Hours per Resident per Day
1.33344
Adjusted RN Staffing Hours per Resident per Day
0.33773
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47334
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
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
0
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
72
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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