California Nursing Homes >> Yucca Valley Nursing Homes >> Sky Harbor Care Center

Sky Harbor Care Center - Yucca Valley Nursing Home

General Information

UPDATE
Federal Provider Number
555773
Provider Name
SKY HARBOR CARE CENTER
Provider Address
57333 JOSHUA LANE
YUCCA VALLEY, CA 92284
Provider Phone Number
(760) 365-4870
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRASWELL MEDICAL CONSULTANTS INC
Date First Approved to Provide Medicare and Medicaid services
2001-06-08
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44941
Reported LPN Staffing Hours per Resident per Day
0.88000
Reported RN Staffing Hours per Resident per Day
0.66471
Reported Licensed Staffing Hours per Resident per Day
1.54471
Reported Total Nurse Staffing Hours per Resident per Day
3.99412
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05471
Expected CNA Staffing Hours per Resident per Day
2.43251
Expected LPN Staffing Hours per Resident per Day
0.66212
Expected RN Staffing Hours per Resident per Day
1.07546
Expected Total Nurse Staffing Hours per Resident per Day
4.17009
Adjusted CNA Staffing Hours per Resident per Day
2.47075
Adjusted LPN Staffing Hours per Resident per Day
1.10312
Adjusted RN Staffing Hours per Resident per Day
0.46182
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86080
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
70
Cycle 1 Total Health Score
210
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
230
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
230
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
193.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
4000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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