Tustin Care Center - Tustin Nursing Home
General Information
UPDATEFederal Provider Number
500000000000000000000000000000
Provider Name
TUSTIN CARE CENTER
Provider Address
1051 BRYAN AVENUE
TUSTIN, CA 92780
TUSTIN, CA 92780
Provider Phone Number
(714) 832-6780
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
98
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
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
2
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
1.11224
Reported LPN Staffing Hours per Resident per Day
0.27551
Reported RN Staffing Hours per Resident per Day
0.51173
Reported Licensed Staffing Hours per Resident per Day
0.78724
Reported Total Nurse Staffing Hours per Resident per Day
1.89948
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01735
Expected CNA Staffing Hours per Resident per Day
1.64665
Expected LPN Staffing Hours per Resident per Day
0.50000
Expected RN Staffing Hours per Resident per Day
0.60137
Expected Total Nurse Staffing Hours per Resident per Day
2.74802
Adjusted CNA Staffing Hours per Resident per Day
1.65737
Adjusted LPN Staffing Hours per Resident per Day
0.45735
Adjusted RN Staffing Hours per Resident per Day
0.63582
Adjusted Total Nurse Staffing Hours per Resident per Day
2.78623
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
74.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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