Shea Family Care La Jolla - La Jolla Nursing Home
General Information
UPDATEFederal Provider Number
555545
Provider Name
SHEA FAMILY CARE LA JOLLA
Provider Address
7160 FAY AVENUE
LA JOLLA, CA 92037
LA JOLLA, CA 92037
Provider Phone Number
(858) 459-4361
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
43
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-03-12
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.99070
Reported LPN Staffing Hours per Resident per Day
0.73256
Reported RN Staffing Hours per Resident per Day
1.52674
Reported Licensed Staffing Hours per Resident per Day
2.25930
Reported Total Nurse Staffing Hours per Resident per Day
4.25000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34419
Expected CNA Staffing Hours per Resident per Day
2.43873
Expected LPN Staffing Hours per Resident per Day
0.77801
Expected RN Staffing Hours per Resident per Day
1.68102
Expected Total Nurse Staffing Hours per Resident per Day
4.89776
Adjusted CNA Staffing Hours per Resident per Day
2.00292
Adjusted LPN Staffing Hours per Resident per Day
0.78151
Adjusted RN Staffing Hours per Resident per Day
0.67863
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49779
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
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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