Vista Knoll Specialized Care Facility - Vista Nursing Home
General Information
UPDATEFederal Provider Number
555425
Provider Name
VISTA KNOLL SPECIALIZED CARE FACILITY
Provider Address
2000 WESTWOOD ROAD
VISTA, CA 92083
VISTA, CA 92083
Provider Phone Number
(760) 630-2273
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VISTA WOODS HEALTH ASSOCIATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-30
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.35470
Reported LPN Staffing Hours per Resident per Day
0.92863
Reported RN Staffing Hours per Resident per Day
0.83590
Reported Licensed Staffing Hours per Resident per Day
1.76453
Reported Total Nurse Staffing Hours per Resident per Day
4.11923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14957
Expected CNA Staffing Hours per Resident per Day
2.29052
Expected LPN Staffing Hours per Resident per Day
0.63964
Expected RN Staffing Hours per Resident per Day
1.07057
Expected Total Nurse Staffing Hours per Resident per Day
4.00073
Adjusted CNA Staffing Hours per Resident per Day
2.52245
Adjusted LPN Staffing Hours per Resident per Day
1.20500
Adjusted RN Staffing Hours per Resident per Day
0.58341
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15030
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
19
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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