South Coast Global Medical Center, Inc D/p Snf - Santa Ana Nursing Home
General Information
UPDATEFederal Provider Number
555567
Provider Name
SOUTH COAST GLOBAL MEDICAL CENTER, INC D/P SNF
Provider Address
2701 SOUTH BRISTOL STREET
SANTA ANA, CA 92704
SANTA ANA, CA 92704
Provider Phone Number
(714) 754-5454
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
COASTAL COMMUNITIES HOSPITAL INC.
Date First Approved to Provide Medicare and Medicaid services
1993-09-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.13043
Reported LPN Staffing Hours per Resident per Day
3.65217
Reported RN Staffing Hours per Resident per Day
0.90000
Reported Licensed Staffing Hours per Resident per Day
4.55217
Reported Total Nurse Staffing Hours per Resident per Day
7.68260
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02609
Expected CNA Staffing Hours per Resident per Day
2.78292
Expected LPN Staffing Hours per Resident per Day
1.42878
Expected RN Staffing Hours per Resident per Day
1.88074
Expected Total Nurse Staffing Hours per Resident per Day
6.09244
Adjusted CNA Staffing Hours per Resident per Day
2.76010
Adjusted LPN Staffing Hours per Resident per Day
2.12160
Adjusted RN Staffing Hours per Resident per Day
0.35756
Adjusted Total Nurse Staffing Hours per Resident per Day
5.08299
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
24
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
274
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
274
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
112.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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