Shea Family Care Somerset - El Cajon Nursing Home

General Information

UPDATE
Federal Provider Number
555871
Provider Name
SHEA FAMILY CARE SOMERSET
Provider Address
151 CLAYDELLE AVE
EL CAJON, CA 92020
Provider Phone Number
(619) 442-0245
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
39
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
2011-07-22
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
1.95769
Reported LPN Staffing Hours per Resident per Day
0.80769
Reported RN Staffing Hours per Resident per Day
1.60769
Reported Licensed Staffing Hours per Resident per Day
2.41538
Reported Total Nurse Staffing Hours per Resident per Day
4.37307
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19487
Expected CNA Staffing Hours per Resident per Day
2.60739
Expected LPN Staffing Hours per Resident per Day
0.74168
Expected RN Staffing Hours per Resident per Day
1.33005
Expected Total Nurse Staffing Hours per Resident per Day
4.67912
Adjusted CNA Staffing Hours per Resident per Day
1.84230
Adjusted LPN Staffing Hours per Resident per Day
0.90387
Adjusted RN Staffing Hours per Resident per Day
0.90317
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76725
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
54
Cycle 1 Total Health Score
162
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
88.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
24250
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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