University Care Center - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
55328
Provider Name
UNIVERSITY CARE CENTER
Provider Address
5602 UNIVERSITY AVE
SAN DIEGO, CA 92105
SAN DIEGO, CA 92105
Provider Phone Number
(619) 583-1993
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BIRCH HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-10
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42403
Reported LPN Staffing Hours per Resident per Day
0.71429
Reported RN Staffing Hours per Resident per Day
1.17273
Reported Licensed Staffing Hours per Resident per Day
1.88701
Reported Total Nurse Staffing Hours per Resident per Day
4.31105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10519
Expected CNA Staffing Hours per Resident per Day
2.70550
Expected LPN Staffing Hours per Resident per Day
0.77754
Expected RN Staffing Hours per Resident per Day
1.19481
Expected Total Nurse Staffing Hours per Resident per Day
4.67786
Adjusted CNA Staffing Hours per Resident per Day
2.19842
Adjusted LPN Staffing Hours per Resident per Day
0.76248
Adjusted RN Staffing Hours per Resident per Day
0.73339
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71482
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
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
2013-03-28
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
9978
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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