Mountains Community Hosp Dpsnf
Mountains Community Hosp Dpsnf Information
| Facility Name | Mountains Community Hosp Dpsnf |
| Location | 29101 Hospital Road, Lake Arrowhead, CA 92352 |
| County (SSA Code) | San Bernardino (460) |
| Phone Number | 909-336-3651 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 20 |
| Average Number of Residents | 19 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Resident |
| Provider Business Name | SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT |
| Ownership Type | Government - Hospital district |
| Date First Approved | 1991-06-11 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.53407 |
| Reported LPN Staffing Hours per Resident per Day | 1.68317 |
| Reported RN Staffing - Hours per Resident per Day | 5.11614 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 6.79931 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 10.33337 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.98631 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64356 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25305 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.88291 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 11.42757 |
| Total Weighted Health Survey Score for three cycles | 24 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-25 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-25 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-11 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |