Overall Rating
Address
3520 Fourth Avenue
San Diego, CA 92103
Contact
6192915270
Certification Date
1969-10-10
CMS Certification Number
056105
Ownership Type
For profit - Individual
Number of Certified Beds
194
Average Number of Residents per Day
168.0
Provider Type
Medicare and Medicaid
Legal Business Name
BALBOA HEALTHCARE, INC.
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
4
Quality Measure Rating
4
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.54740
Reported LPN Staffing Hours per Resident per Day
0.92619
Reported RN Staffing Hours per Resident per Day
0.55841
Reported Total Nurse Staffing Hours per Resident per Day
4.03199
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.55357
Registered Nurse Hours per Resident per Day on the Weekend
0.54259
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20722
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
54.000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
16
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-08-25
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
13
Number of Complaint Health Deficiencies
0
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Standard Health Survey Date
2019-01-18
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
5
Health Deficiency Score
48
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
48
Standard Health Survey Date
2017-11-20
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
2
Health Deficiency Score
60
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
60
Number of Fines
2
Total Amount of Fines in Dollars
1630.14
Number of Payment Denials
0
Total Number of Penalties
2