Shea Family Care Victoria - El Cajon Nursing Home
General Information
UPDATEFederal Provider Number
555804
Provider Name
SHEA FAMILY CARE VICTORIA
Provider Address
654 S. ANZA
EL CAJON, CA 92020
EL CAJON, CA 92020
Provider Phone Number
(619) 440-5005
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
114
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
2004-03-17
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.19430
Reported LPN Staffing Hours per Resident per Day
0.55570
Reported RN Staffing Hours per Resident per Day
1.40746
Reported Licensed Staffing Hours per Resident per Day
1.96316
Reported Total Nurse Staffing Hours per Resident per Day
4.15746
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11974
Expected CNA Staffing Hours per Resident per Day
2.52646
Expected LPN Staffing Hours per Resident per Day
0.62310
Expected RN Staffing Hours per Resident per Day
1.04301
Expected Total Nurse Staffing Hours per Resident per Day
4.19257
Adjusted CNA Staffing Hours per Resident per Day
2.13111
Adjusted LPN Staffing Hours per Resident per Day
0.74022
Adjusted RN Staffing Hours per Resident per Day
1.00828
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99714
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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