Valle Vista Convalescent Hospital - Escondido Nursing Home
General Information
UPDATEFederal Provider Number
55500
Provider Name
VALLE VISTA CONVALESCENT HOSPITAL
Provider Address
1025 W. SECOND AVENUE
ESCONDIDO, CA 92025
ESCONDIDO, CA 92025
Provider Phone Number
(760) 745-1842
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
59
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54397
Reported LPN Staffing Hours per Resident per Day
0.45086
Reported RN Staffing Hours per Resident per Day
0.78793
Reported Licensed Staffing Hours per Resident per Day
1.23879
Reported Total Nurse Staffing Hours per Resident per Day
3.78276
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09828
Expected CNA Staffing Hours per Resident per Day
2.72137
Expected LPN Staffing Hours per Resident per Day
0.67233
Expected RN Staffing Hours per Resident per Day
0.98791
Expected Total Nurse Staffing Hours per Resident per Day
4.38161
Adjusted CNA Staffing Hours per Resident per Day
2.29375
Adjusted LPN Staffing Hours per Resident per Day
0.55659
Adjusted RN Staffing Hours per Resident per Day
0.59595
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47998
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
169
Cycle 2 Standard Health Survey Date
2013-09-24
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
85
Cycle 2 Total Health Score
254
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
25800
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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