Overall Rating
Address
6061 Banbury St.
San Diego, CA 92139
Contact
6194752211
Certification Date
1972-07-11
CMS Certification Number
056330
Ownership Type
For profit - Corporation
Number of Certified Beds
162
Average Number of Residents per Day
159.4
Provider Type
Medicare and Medicaid
Legal Business Name
LILAC HOLDINGS, LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
2
Quality Measure Rating
5
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.24032
Reported LPN Staffing Hours per Resident per Day
1.27539
Reported RN Staffing Hours per Resident per Day
0.25998
Reported Total Nurse Staffing Hours per Resident per Day
3.77570
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.28369
Registered Nurse Hours per Resident per Day on the Weekend
0.23772
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12023
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
98.000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
15
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2021-07-22
Total Number of Health Deficiencies
30
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
19
Health Deficiency Score
164
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
164
Standard Health Survey Date
2019-03-08
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
3
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2018-03-01
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
2
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Number of Fines
1
Total Amount of Fines in Dollars
31950.00
Number of Payment Denials
0
Total Number of Penalties
1