Totally Kids Rehabilitation Hospital - D/p Snf - Loma Linda Nursing Home

General Information

UPDATE
Federal Provider Number
555587
Provider Name
TOTALLY KIDS REHABILITATION HOSPITAL - D/P SNF
Provider Address
1720 MOUNTAIN VIEW
LOMA LINDA, CA 92354
Provider Phone Number
(909) 796-6915
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNTAIN VIEW CHILD CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-02-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
4.71250
Reported LPN Staffing Hours per Resident per Day
4.65577
Reported RN Staffing Hours per Resident per Day
1.47788
Reported Licensed Staffing Hours per Resident per Day
6.13365
Reported Total Nurse Staffing Hours per Resident per Day
10.84615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13173
Expected CNA Staffing Hours per Resident per Day
2.85816
Expected LPN Staffing Hours per Resident per Day
1.40746
Expected RN Staffing Hours per Resident per Day
2.24951
Expected Total Nurse Staffing Hours per Resident per Day
6.51513
Adjusted CNA Staffing Hours per Resident per Day
4.04563
Adjusted LPN Staffing Hours per Resident per Day
2.74558
Adjusted RN Staffing Hours per Resident per Day
0.49089
Adjusted Total Nurse Staffing Hours per Resident per Day
6.71050
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
83
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
83
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
49.50000
Number of Facility Reported Incidents
1
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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