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Detailed information-CYPRESS GARDENS CARE CENTER

This is the detailed information about CYPRESS GARDENS CARE CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 056315
Provider Name: CYPRESS GARDENS CARE CENTER
Provider State: CA
Provider Zip Code: 92503
Overall Rating: 2
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 19
Provider Phone Number: 9516883643
Provider City: RIVERSIDE
Provider SSA County Code: 430
Provider County Name: Riverside
Provider Address: 9025 COLORADO AVENUE
Number of Certified Beds: 120
Number of Residents in Certified Beds:
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: 9025 COLORADO AVENUE LLC
Date First Approved to Provide Medicare and Medicaid services: 1971-11-01
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 2
Health Inspection Rating Footnote:
QM Rating: 5
QM Rating Footnote:
Staffing Rating: 1
Staffing Rating Footnote: No Staffing Data Submitted
RN Staffing Rating: 1
RN Staffing Rating Footnote: No Staffing Data Submitted
Reported Staffing Footnote: Data Not Available
Physical Therapist Staffing Footnote: Data Not Available
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Adjusted CNA Staffing Hours per Resident per Day:
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Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 10/12/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 10
Rating Cycle 1 Standard Survey Health Date: 2017-10-12
Rating Cycle 1 Total Number of Health Deficiencies: 23
Rating Cycle 1 Number of Standard Health Deficiencies: 10
Rating Cycle 1 Number of Complaint Health Deficiencies: 13
Rating Cycle 1 Health Deficiency Score: 112
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 112

Rating Cycle 2 Standard Health Survey Date: 2016-10-27
Rating Cycle 2 Total Number of Health Deficiencies: 19
Rating Cycle 2 Number of Standard Health Deficiencies: 11
Rating Cycle 2 Number of Complaint Health Deficiencies: 9
Rating Cycle 2 Health Deficiency Score: 92
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 92
Total Weighted Health Survey Score: 104.000
Number of Facility Reported Incidents: 4
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01