Shoreline Care Center - Oxnard Nursing Home

General Information

UPDATE
Federal Provider Number
555163
Provider Name
SHORELINE CARE CENTER
Provider Address
5225 SOUTH J ST
OXNARD, CA 93033
Provider Phone Number
(805) 488-3696
Provider SSA County
660
Provider County Name
Ventura
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
193
Number of Residents in Certified Beds
186
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-01-30
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
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
2.32366
Reported LPN Staffing Hours per Resident per Day
0.40591
Reported RN Staffing Hours per Resident per Day
0.78952
Reported Licensed Staffing Hours per Resident per Day
1.19543
Reported Total Nurse Staffing Hours per Resident per Day
3.51909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08763
Expected CNA Staffing Hours per Resident per Day
2.60901
Expected LPN Staffing Hours per Resident per Day
0.62315
Expected RN Staffing Hours per Resident per Day
0.97658
Expected Total Nurse Staffing Hours per Resident per Day
4.20874
Adjusted CNA Staffing Hours per Resident per Day
2.18534
Adjusted LPN Staffing Hours per Resident per Day
0.54065
Adjusted RN Staffing Hours per Resident per Day
0.60408
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37039
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
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
24
Cycle 3 Standard Health Survey Date
2012-07-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
3
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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