Villa Rancho Bernardo Care Center - San Diego Nursing Home
General Information
UPDATEFederal Provider Number
555318
Provider Name
VILLA RANCHO BERNARDO CARE CENTER
Provider Address
15720 BERNARDO CENTER DRIVE
SAN DIEGO, CA 92127
SAN DIEGO, CA 92127
Provider Phone Number
8586723900
Provider SSA County
470
Provider County Name
San Diego
Ownership Type
For profit - Partnership
Number of Certified Beds
299
Number of Residents in Certified Beds
279
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA RANCHO BERNARDO HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1988-10-12
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.88781
Reported LPN Staffing Hours per Resident per Day
0.86792
Reported RN Staffing Hours per Resident per Day
0.72688
Reported Licensed Staffing Hours per Resident per Day
1.59480
Reported Total Nurse Staffing Hours per Resident per Day
4.48261
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12258
Expected CNA Staffing Hours per Resident per Day
2.38640
Expected LPN Staffing Hours per Resident per Day
0.62355
Expected RN Staffing Hours per Resident per Day
0.96320
Expected Total Nurse Staffing Hours per Resident per Day
3.97315
Adjusted CNA Staffing Hours per Resident per Day
2.96925
Adjusted LPN Staffing Hours per Resident per Day
1.15528
Adjusted RN Staffing Hours per Resident per Day
0.56387
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54777
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-06-30
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
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-11
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
9
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
17
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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