Veterans Home Of California - Barstow - Barstow Nursing Home
General Information
UPDATEFederal Provider Number
555853
Provider Name
VETERANS HOME OF CALIFORNIA - BARSTOW
Provider Address
100 EAST VETERANS PARKWAY
BARSTOW, CA 92311
BARSTOW, CA 92311
Provider Phone Number
(760) 252-6200
Provider SSA County
460
Provider County Name
San Bernardino
Provider Website
Provider Description
Ownership Type
Government - Federal
Number of Certified Beds
120
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VETERANS HOME OF CALIFORNIA BARSTOW
Date First Approved to Provide Medicare and Medicaid services
2008-10-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
QM Rating Footnote
Staffing Rating
5
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
2.88804
Reported LPN Staffing Hours per Resident per Day
0.90054
Reported RN Staffing Hours per Resident per Day
1.24185
Reported Licensed Staffing Hours per Resident per Day
2.14239
Reported Total Nurse Staffing Hours per Resident per Day
5.03043
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01576
Expected CNA Staffing Hours per Resident per Day
1.82929
Expected LPN Staffing Hours per Resident per Day
0.56397
Expected RN Staffing Hours per Resident per Day
0.78688
Expected Total Nurse Staffing Hours per Resident per Day
3.18013
Adjusted CNA Staffing Hours per Resident per Day
3.87385
Adjusted LPN Staffing Hours per Resident per Day
1.32534
Adjusted RN Staffing Hours per Resident per Day
1.17923
Adjusted Total Nurse Staffing Hours per Resident per Day
6.37620
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
164
Cycle 2 Standard Health Survey Date
2014-03-03
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
82
Cycle 2 Total Health Score
246
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-03-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
137.33300
Number of Facility Reported Incidents
19
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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