San Jacinto Healthcare - Hemet Nursing Home
General Information
UPDATEFederal Provider Number
55223
Provider Name
SAN JACINTO HEALTHCARE
Provider Address
275 NORTH SAN JACINTO STREET
HEMET, CA 92543
HEMET, CA 92543
Provider Phone Number
(951) 658-9441
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIRAMONTE ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-08-27
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.83906
Reported LPN Staffing Hours per Resident per Day
1.02578
Reported RN Staffing Hours per Resident per Day
0.89922
Reported Licensed Staffing Hours per Resident per Day
1.92500
Reported Total Nurse Staffing Hours per Resident per Day
4.76406
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10703
Expected CNA Staffing Hours per Resident per Day
2.39832
Expected LPN Staffing Hours per Resident per Day
0.74290
Expected RN Staffing Hours per Resident per Day
1.29532
Expected Total Nurse Staffing Hours per Resident per Day
4.43655
Adjusted CNA Staffing Hours per Resident per Day
2.90461
Adjusted LPN Staffing Hours per Resident per Day
1.14604
Adjusted RN Staffing Hours per Resident per Day
0.51871
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32847
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
4
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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