Country Villa Plaza Convalescent Center
Country Villa Plaza Convalescent Center Information
| Facility Name | Country Villa Plaza Convalescent Center |
| Location | 1209 Hemlock Way, Santa Ana, CA 92707 |
| County (SSA Code) | Orange (400) |
| Phone Number | 714-546-1966 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 145 |
| Average Number of Residents | 113.8 |
| 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 Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COUNTRY VILLA PLAZA, A CA LTD. PARTNERSHIP |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1979-08-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.57785 |
| Reported LPN Staffing Hours per Resident per Day | 1.05106 |
| Reported RN Staffing - Hours per Resident per Day | 0.40898 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.46003 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.03788 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.08124 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.0066 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72042 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.3187 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.04572 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.22675 |
| Total Weighted Health Survey Score for three cycles | 176 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-11 |
| Rating cycle 1 - Health Deficiency Score | 33 |
| Rating cycle 1 - Total Health Inspection Score | 120 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-28 |
| Rating cycle 2 - Health Deficiency Score | 120 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-10 |
| Rating cycle 3 - Health Deficiency Score | 132 |
| Rating cycle 3 - Total Health Inspection Score | 132 |
| Number of Facility-Reported Incidents | 4 |
| Number of Substantiated Complaints | 15 |
| Number of Substantiated Complaints | 15 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |