Shea Family Care Magnolia - El Cajon Nursing Home
General Information
UPDATEFederal Provider Number
55890
Provider Name
SHEA FAMILY CARE MAGNOLIA
Provider Address
635 S MAGNOLIA AVE
EL CAJON, CA 92020
EL CAJON, CA 92020
Provider Phone Number
6194428826
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
87
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
1968-03-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.20115
Reported LPN Staffing Hours per Resident per Day
1.18736
Reported RN Staffing Hours per Resident per Day
0.91782
Reported Licensed Staffing Hours per Resident per Day
2.10517
Reported Total Nurse Staffing Hours per Resident per Day
4.30633
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14943
Expected CNA Staffing Hours per Resident per Day
2.56590
Expected LPN Staffing Hours per Resident per Day
0.71631
Expected RN Staffing Hours per Resident per Day
1.13719
Expected Total Nurse Staffing Hours per Resident per Day
4.41940
Adjusted CNA Staffing Hours per Resident per Day
2.10490
Adjusted LPN Staffing Hours per Resident per Day
1.37582
Adjusted RN Staffing Hours per Resident per Day
0.60306
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92777
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
36
Cycle 2 Number of Standard Health Deficiencies
26
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
208
Cycle 2 Standard Health Survey Date
2013-07-11
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
25
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
130.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
15
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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