Villa Valencia - Laguna Hills Nursing Home
General Information
UPDATEFederal Provider Number
555462
Provider Name
VILLA VALENCIA
Provider Address
24552 PASEO DE VALENCIA
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Provider Phone Number
(949) 458-8880
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
35
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SNH SE TENANT TRS, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-06-24
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
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
2.15000
Reported LPN Staffing Hours per Resident per Day
1.13286
Reported RN Staffing Hours per Resident per Day
1.24429
Reported Licensed Staffing Hours per Resident per Day
2.37714
Reported Total Nurse Staffing Hours per Resident per Day
4.52715
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31286
Expected CNA Staffing Hours per Resident per Day
2.36343
Expected LPN Staffing Hours per Resident per Day
0.71316
Expected RN Staffing Hours per Resident per Day
1.44565
Expected Total Nurse Staffing Hours per Resident per Day
4.52224
Adjusted CNA Staffing Hours per Resident per Day
2.23212
Adjusted LPN Staffing Hours per Resident per Day
1.31847
Adjusted RN Staffing Hours per Resident per Day
0.64312
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03528
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
9
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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