Walnut Village Rehabilitation And Care Center - Anaheim Nursing Home

General Information

UPDATE
Federal Provider Number
555472
Provider Name
WALNUT VILLAGE REHABILITATION AND CARE CENTER
Provider Address
1401 W BALL ROAD
ANAHEIM, CA 92802
Provider Phone Number
(714) 776-7150
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRONT PORCH COMMUNITIES AND SERVICES
Date First Approved to Provide Medicare and Medicaid services
1991-08-23
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72397
Reported LPN Staffing Hours per Resident per Day
1.48699
Reported RN Staffing Hours per Resident per Day
0.68836
Reported Licensed Staffing Hours per Resident per Day
2.17534
Reported Total Nurse Staffing Hours per Resident per Day
4.89932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17397
Expected CNA Staffing Hours per Resident per Day
2.67169
Expected LPN Staffing Hours per Resident per Day
0.68329
Expected RN Staffing Hours per Resident per Day
1.08446
Expected Total Nurse Staffing Hours per Resident per Day
4.43944
Adjusted CNA Staffing Hours per Resident per Day
2.50171
Adjusted LPN Staffing Hours per Resident per Day
1.80626
Adjusted RN Staffing Hours per Resident per Day
0.47429
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44846
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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