Veterans Home Of California - Chula Vista - Chula Vista Nursing Home
General Information
UPDATEFederal Provider Number
555795
Provider Name
VETERANS HOME OF CALIFORNIA - CHULA VISTA
Provider Address
700 EAST NAPLES COURT
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
Provider Phone Number
(619) 205-1478
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
180
Number of Residents in Certified Beds
169
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VETERANS HOME OF CALIFORNIA-CHULA VISTA
Date First Approved to Provide Medicare and Medicaid services
2002-07-18
Continuing Care Retirement Community
Y
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
3
QM Rating Footnote
Staffing Rating
4
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
3.36420
Reported LPN Staffing Hours per Resident per Day
0.94675
Reported RN Staffing Hours per Resident per Day
0.76095
Reported Licensed Staffing Hours per Resident per Day
1.70769
Reported Total Nurse Staffing Hours per Resident per Day
5.07190
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03373
Expected CNA Staffing Hours per Resident per Day
2.23325
Expected LPN Staffing Hours per Resident per Day
0.57120
Expected RN Staffing Hours per Resident per Day
0.81138
Expected Total Nurse Staffing Hours per Resident per Day
3.61583
Adjusted CNA Staffing Hours per Resident per Day
3.69629
Adjusted LPN Staffing Hours per Resident per Day
1.37569
Adjusted RN Staffing Hours per Resident per Day
0.70076
Adjusted Total Nurse Staffing Hours per Resident per Day
5.65411
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
30
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
340
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
340
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
145.33300
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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