Vista Pacifica Convalescent Hospital - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
55361
Provider Name
VISTA PACIFICA CONVALESCENT HOSPITAL
Provider Address
3662 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 - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VISTA PACIFICA ENTERPRISES INC.
Date First Approved to Provide Medicare and Medicaid services
1971-12-31
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.36563
Reported LPN Staffing Hours per Resident per Day
0.73542
Reported RN Staffing Hours per Resident per Day
0.23646
Reported Licensed Staffing Hours per Resident per Day
0.97188
Reported Total Nurse Staffing Hours per Resident per Day
4.33751
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03021
Expected CNA Staffing Hours per Resident per Day
2.47980
Expected LPN Staffing Hours per Resident per Day
0.52945
Expected RN Staffing Hours per Resident per Day
0.74425
Expected Total Nurse Staffing Hours per Resident per Day
3.75350
Adjusted CNA Staffing Hours per Resident per Day
3.33020
Adjusted LPN Staffing Hours per Resident per Day
1.15290
Adjusted RN Staffing Hours per Resident per Day
0.23740
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65807
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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