Shea Family Care Mission Hills - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
56401
Provider Name
SHEA FAMILY CARE MISSION HILLS
Provider Address
3680 REYNARD WAY
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
Provider Phone Number
(619) 297-4484
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
42
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
1973-07-01
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
3.13571
Reported LPN Staffing Hours per Resident per Day
1.07738
Reported RN Staffing Hours per Resident per Day
2.26310
Reported Licensed Staffing Hours per Resident per Day
3.34048
Reported Total Nurse Staffing Hours per Resident per Day
6.47619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25833
Expected CNA Staffing Hours per Resident per Day
2.33851
Expected LPN Staffing Hours per Resident per Day
0.70115
Expected RN Staffing Hours per Resident per Day
1.45407
Expected Total Nurse Staffing Hours per Resident per Day
4.49373
Adjusted CNA Staffing Hours per Resident per Day
3.29017
Adjusted LPN Staffing Hours per Resident per Day
1.27536
Adjusted RN Staffing Hours per Resident per Day
1.16293
Adjusted Total Nurse Staffing Hours per Resident per Day
5.80918
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-04-18
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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