Mill Creek Manor
Mill Creek Manor Information
| Facility Name | Mill Creek Manor |
| Location | 2278 Nice Street, Mentone, CA 92359 |
| County (SSA Code) | San Bernardino (460) |
| Phone Number | 909-794-1189 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 43.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | NICE AVENUE LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1976-09-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.22733 |
| Reported LPN Staffing Hours per Resident per Day | 1.11097 |
| Reported RN Staffing - Hours per Resident per Day | 0.15064 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.26161 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.48894 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.82488 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64279 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29761 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.76527 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.02253 |
| Total Weighted Health Survey Score for three cycles | 110.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-28 |
| Rating cycle 1 - Health Deficiency Score | 13 |
| Rating cycle 1 - Total Health Inspection Score | 159 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-16 |
| Rating cycle 2 - Health Deficiency Score | 159 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-17 |
| Rating cycle 3 - Health Deficiency Score | 142 |
| Rating cycle 3 - Total Health Inspection Score | 142 |
| Number of Facility-Reported Incidents | 8 |
| Number of Substantiated Complaints | 7 |
| Number of Substantiated Complaints | 7 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 41099 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |