Overall Rating
Address
1850 N. Waterman Ave.
San Bernardino, CA 92404
Contact
9098821215
Certification Date
1971-01-01
CMS Certification Number
055565
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
166
Average Number of Residents per Day
154.1
Provider Type
Medicare and Medicaid
Legal Business Name
WATERMANIDENCE OPCO LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.62146
Reported LPN Staffing Hours per Resident per Day
1.11984
Reported RN Staffing Hours per Resident per Day
0.21868
Reported Total Nurse Staffing Hours per Resident per Day
3.95998
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.71757
Registered Nurse Hours per Resident per Day on the Weekend
0.17825
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05949
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
1
Total Weighted Health Survey Score
99.333
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
22
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-06-09
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
18
Number of Complaint Health Deficiencies
7
Health Deficiency Score
120
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
120
Standard Health Survey Date
2021-05-24
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
5
Health Deficiency Score
76
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
76
Standard Health Survey Date
2019-03-08
Total Number of Health Deficiencies
19
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
11
Health Deficiency Score
84
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
84
Number of Fines
1
Total Amount of Fines in Dollars
650.00
Number of Payment Denials
0
Total Number of Penalties
1