Overall Rating
Address
12072 Trask Ave.
Garden Grove, CA 92843
Contact
7145341942
Certification Date
1980-01-01
CMS Certification Number
055575
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Average Number of Residents per Day
91.6
Provider Type
Medicare and Medicaid
Legal Business Name
12072 TRASK, INC.
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
4
Quality Measure Rating
5
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
3.18422
Reported LPN Staffing Hours per Resident per Day
2.44520
Reported RN Staffing Hours per Resident per Day
0.86153
Reported Total Nurse Staffing Hours per Resident per Day
6.49095
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
6.13863
Registered Nurse Hours per Resident per Day on the Weekend
0.68692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05357
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
53.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-11-23
Total Number of Health Deficiencies
10
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
4
Health Deficiency Score
44
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
44
Standard Health Survey Date
2019-04-17
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
15
Number of Complaint Health Deficiencies
0
Health Deficiency Score
60
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
60
Standard Health Survey Date
2018-05-02
Total Number of Health Deficiencies
17
Number of Standard Health Deficiencies
17
Number of Complaint Health Deficiencies
0
Health Deficiency Score
68
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
68
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0