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VI AT LA JOLLA VILLAGE

Overall Rating

Address

4171 Las Palmas Square

San Diego, CA 92122

Contact

8586463400

Certification Date

2002-06-26

Details

CMS Certification Number

555793

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

60

Average Number of Residents per Day

48.9

Provider Type

Medicare

Legal Business Name

CCW LA JOLLA, LLC

Affiliated Entity Name

VI LIVING

Affiliated Entity ID

548

Ratings

Health Inspection Rating

5

Quality Measure Rating

5

Staffing Rating

5

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.36860

Reported LPN Staffing Hours per Resident per Day

0.98044

Reported RN Staffing Hours per Resident per Day

0.75227

Reported Total Nurse Staffing Hours per Resident per Day

5.10131

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

4.73803

Registered Nurse Hours per Resident per Day on the Weekend

0.51276

Reported Physical Therapist Staffing Hours per Resident Per Day

0.14060

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

16.000

Number of Facility Reported Incidents

3

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-09-01

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

2

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2019-11-08

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

1

Number of Complaint Health Deficiencies

0

Health Deficiency Score

4

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

4

Rating Cycle 3

Standard Health Survey Date

2018-11-15

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

1

Health Deficiency Score

4

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

4

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0