Overall Rating
Address
622 South Anza Street
El Cajon, CA 92020
Contact
6194420544
Certification Date
1967-08-17
CMS Certification Number
055806
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
151
Average Number of Residents per Day
143.0
Provider Type
Medicare and Medicaid
Legal Business Name
JEFFREY PINE HOLDINGS LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
3
Quality Measure Rating
5
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.52406
Reported LPN Staffing Hours per Resident per Day
0.97744
Reported RN Staffing Hours per Resident per Day
0.52610
Reported Total Nurse Staffing Hours per Resident per Day
4.02760
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.74532
Registered Nurse Hours per Resident per Day on the Weekend
0.42253
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08642
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
91.333
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-07-28
Total Number of Health Deficiencies
28
Number of Standard Health Deficiencies
17
Number of Complaint Health Deficiencies
11
Health Deficiency Score
132
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
132
Standard Health Survey Date
2019-03-22
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
5
Health Deficiency Score
60
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
60
Standard Health Survey Date
2018-03-26
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
32
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
32
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0