Overall Rating
Address
2018 N Del Rosa Ave.
San Bernardino, CA 92404
Contact
9098853261
Certification Date
1984-09-10
CMS Certification Number
555195
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
104
Average Number of Residents per Day
92.2
Provider Type
Medicare and Medicaid
Legal Business Name
DEL ROSA VILLAIDENCE OPCO LLC
Affiliated Entity Name
PROVIDENCE GROUP
Affiliated Entity ID
429
Health Inspection Rating
4
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.70060
Reported LPN Staffing Hours per Resident per Day
1.15931
Reported RN Staffing Hours per Resident per Day
0.28218
Reported Total Nurse Staffing Hours per Resident per Day
4.14208
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.87558
Registered Nurse Hours per Resident per Day on the Weekend
0.22778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08298
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
55.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-12-13
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
13
Number of Complaint Health Deficiencies
1
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Standard Health Survey Date
2021-10-21
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
4
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2020-02-28
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
3
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Number of Fines
1
Total Amount of Fines in Dollars
650.00
Number of Payment Denials
0
Total Number of Penalties
1