Valley Healthcare Center - San Bernardino Nursing Home
General Information
UPDATEFederal Provider Number
56183
Provider Name
VALLEY HEALTHCARE CENTER
Provider Address
1680 NORTH WATERMAN AVENUE
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
Provider Phone Number
(909) 886-5291
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED MEDICAL MANAGEMENT INC
Date First Approved to Provide Medicare and Medicaid services
1971-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.18807
Reported LPN Staffing Hours per Resident per Day
0.85227
Reported RN Staffing Hours per Resident per Day
0.62557
Reported Licensed Staffing Hours per Resident per Day
1.47784
Reported Total Nurse Staffing Hours per Resident per Day
3.66591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07784
Expected CNA Staffing Hours per Resident per Day
2.29879
Expected LPN Staffing Hours per Resident per Day
0.64157
Expected RN Staffing Hours per Resident per Day
1.04200
Expected Total Nurse Staffing Hours per Resident per Day
3.98235
Adjusted CNA Staffing Hours per Resident per Day
2.33552
Adjusted LPN Staffing Hours per Resident per Day
1.10259
Adjusted RN Staffing Hours per Resident per Day
0.44859
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71060
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-03-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
111.33300
Number of Facility Reported Incidents
3
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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