Vista Pacifica Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
05A264
Provider Name
VISTA PACIFICA CENTER
Provider Address
3674 PACIFIC AVENUE
RIVERSIDE, CA 92509
RIVERSIDE, CA 92509
Provider Phone Number
(951) 682-4833
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
108
Number of Residents in Certified Beds
107
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1976-03-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02009
Reported LPN Staffing Hours per Resident per Day
0.57897
Reported RN Staffing Hours per Resident per Day
0.29065
Reported Licensed Staffing Hours per Resident per Day
0.86963
Reported Total Nurse Staffing Hours per Resident per Day
2.88971
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.42353
Expected LPN Staffing Hours per Resident per Day
0.45291
Expected RN Staffing Hours per Resident per Day
0.62898
Expected Total Nurse Staffing Hours per Resident per Day
2.50542
Adjusted CNA Staffing Hours per Resident per Day
3.48198
Adjusted LPN Staffing Hours per Resident per Day
1.06101
Adjusted RN Staffing Hours per Resident per Day
0.34528
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64917
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-02-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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