Town And Country Manor - Santa Ana Nursing Home
General Information
UPDATEFederal Provider Number
555141
Provider Name
TOWN AND COUNTRY MANOR
Provider Address
555 EAST MEMORY LANE
SANTA ANA, CA 92706
SANTA ANA, CA 92706
Provider Phone Number
(714) 547-7157
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
96
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCE
Date First Approved to Provide Medicare and Medicaid services
1981-11-13
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.97952
Reported LPN Staffing Hours per Resident per Day
1.29036
Reported RN Staffing Hours per Resident per Day
1.03193
Reported Licensed Staffing Hours per Resident per Day
2.32229
Reported Total Nurse Staffing Hours per Resident per Day
5.30181
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14096
Expected CNA Staffing Hours per Resident per Day
2.51387
Expected LPN Staffing Hours per Resident per Day
0.76816
Expected RN Staffing Hours per Resident per Day
1.46935
Expected Total Nurse Staffing Hours per Resident per Day
4.75139
Adjusted CNA Staffing Hours per Resident per Day
2.90820
Adjusted LPN Staffing Hours per Resident per Day
1.39423
Adjusted RN Staffing Hours per Resident per Day
0.52476
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49786
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
36.66700
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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