Villa Coronado D/p Snf - Coronado Nursing Home

General Information

UPDATE
Federal Provider Number
55074
Provider Name
VILLA CORONADO D/P SNF
Provider Address
233 PROSPECT PLACE
CORONADO, CA 92118
Provider Phone Number
6194356251
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
Non profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
4.00579
Reported LPN Staffing Hours per Resident per Day
3.04842
Reported RN Staffing Hours per Resident per Day
1.39526
Reported Licensed Staffing Hours per Resident per Day
4.44368
Reported Total Nurse Staffing Hours per Resident per Day
8.44947
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05474
Expected CNA Staffing Hours per Resident per Day
2.67679
Expected LPN Staffing Hours per Resident per Day
1.12310
Expected RN Staffing Hours per Resident per Day
1.53628
Expected Total Nurse Staffing Hours per Resident per Day
5.33617
Adjusted CNA Staffing Hours per Resident per Day
3.67194
Adjusted LPN Staffing Hours per Resident per Day
2.25286
Adjusted RN Staffing Hours per Resident per Day
0.67861
Adjusted Total Nurse Staffing Hours per Resident per Day
6.38266
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-06-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
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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