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Pacific Haven Subacute And Healthcare Center


Pacific Haven Subacute And Healthcare Center Information

     
Facility Name Pacific Haven Subacute And Healthcare Center
Location 12072 Trask Ave., Garden Grove, CA 92843
County (SSA Code) Orange (400)
Phone Number 714-534-1942
Certification(s)Medicare and Medicaid
Number of Beds99
Average Number of Residents81.3
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Long Stay Quality Rating
Short Stay Quality Rating
Staff Quality Rating
Registered Nurse Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business Name12072 TRASK, INC.
Ownership TypeFor profit - Individual
Date First Approved1980-01-01

Reported Nurse Aide Staffing Hours per Resident per Day3.21622
Reported LPN Staffing Hours per Resident per Day2.29481
Reported RN Staffing - Hours per Resident per Day1.02888
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)3.32369
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)6.53991
Reported Physical Therapy Staffing - Hours per Resident Per Day0.05201
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.37509
Case-Mix LPN Staffing - Hours per Resident per Day0.97513
Case-Mix RN Staffing - Hours per Resident per Day0.92765
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.27787
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.87402

Total Weighted Health Survey Score for three cycles68.667
Rating cycle 1 Standard Survey Health Date2019-04-17
Rating cycle 1 - Health Deficiency Score16
Rating cycle 1 - Total Health Inspection Score80
Date of Rating cycle 2 Standard Health Survey Date2018-05-02
Rating cycle 2 - Health Deficiency Score80
Date of Rating cycle 3 Standard Health Survey Date2017-04-21
Rating cycle 3 - Health Deficiency Score60
Rating cycle 3 - Total Health Inspection Score60

Number of Facility-Reported Incidents0
Number of Substantiated Complaints4
Number of Substantiated Complaints4
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28