Shea Family Care Grossmont - La Mesa Nursing Home
General Information
UPDATEFederal Provider Number
55632
Provider Name
SHEA FAMILY CARE GROSSMONT
Provider Address
8787 CENTER DRIVE
LA MESA, CA 91942
LA MESA, CA 91942
Provider Phone Number
(619) 460-4444
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.54494
Reported LPN Staffing Hours per Resident per Day
0.99430
Reported RN Staffing Hours per Resident per Day
1.80127
Reported Licensed Staffing Hours per Resident per Day
2.79557
Reported Total Nurse Staffing Hours per Resident per Day
5.34051
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25063
Expected CNA Staffing Hours per Resident per Day
2.45640
Expected LPN Staffing Hours per Resident per Day
0.72409
Expected RN Staffing Hours per Resident per Day
1.60262
Expected Total Nurse Staffing Hours per Resident per Day
4.78310
Adjusted CNA Staffing Hours per Resident per Day
2.54215
Adjusted LPN Staffing Hours per Resident per Day
1.13974
Adjusted RN Staffing Hours per Resident per Day
0.83982
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50065
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
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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