Arroyo Vista Nursing Center
3022 45th Street, San Diego, CA 92105


Arroyo Vista Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055505. The address is 3022 45th Street, San Diego, CA 92105. The zip code is 92105. The phone number is 6192835855.


Arroyo Vista Nursing Center · 3022 45th Street, San Diego, CA 92105

Federal Provider Number 055505
Provider Name ARROYO VISTA NURSING CENTER
Address 3022 45TH STREET
SAN DIEGO, CA 92105
Phone Number 6192835855
SSA County Code 470
County Name San Diego
Ownership Type For profit - Corporation
Certified Beds 53
Certified Beds Residents 53
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CITY HEIGHTS HEALTH ASSOCIATES LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.63585
Reported LPN Staffing Hours per Resident per Day 0.91415
Reported RN Staffing Hours per Resident per Day 1.38679
Reported Licensed Staffing Hours per Resident per Day 2.30094
Reported Total Nurse Staffing Hours per Resident per Day 5.93679
Reported Physical Therapist Staffing Hours per Resident Per Day 0.31038
Expected CNA Staffing Hours per Resident per Day 2.42774
Expected LPN Staffing Hours per Resident per Day 0.65627
Expected RN Staffing Hours per Resident per Day 1.18601
Expected Total Nurse Staffing Hours per Resident per Day 4.27001
Adjusted CNA Staffing Hours per Resident per Day 3.67473
Adjusted LPN Staffing Hours per Resident per Day 1.15616
Adjusted RN Staffing Hours per Resident per Day 0.87369
Adjusted Total Nurse Staffing Hours per Resident per Day 5.60434
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 01/20/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 02/03/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 01/23/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 26.667
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Arroyo Vista Nursing Center

Owner Name Role Association Date
BLALACK, CHARLES (Individual) DIRECTOR since 09/25/2003
BUECHS, GORDON (Individual) DIRECTOR since 09/25/2003
BURNAM, SOON (Individual) OFFICER since 01/30/2006
CHRISTENSEN, CHRISTOPHER (Individual) DIRECTOR since 09/25/2003
EASTON, DOUGLAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/27/1999
EASTON, DOUGLAS (Individual) DIRECTOR since 09/25/2003
ENSIGN GROUP INVESTMENTS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/06/2000
ENSIGN GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 01/30/2006
FRANCIA, CYNTHIA (Individual) MANAGING EMPLOYEE since 10/01/2003
KANAN, KAREN (Individual) MANAGING EMPLOYEE since 10/23/2013
KANAN, KAREN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/23/2013
MALOOF, THOMAS (Individual) DIRECTOR since 09/25/2003
NORMAN, ALAN (Individual) DIRECTOR since 09/25/2003
PORT, BARRY (Individual) OFFICER since 09/18/2012
SNAPPER, SUZANNE (Individual) OFFICER since 01/14/2012
STAPLEY, GREGORY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/27/1999
STAPLEY, GREGORY (Individual) OFFICER since 10/29/1999
THE FLAGSTONE GROUP INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/30/2006
THE FLAGSTONE GROUP, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/30/2006
TOOLSON, JAMES (Individual) DIRECTOR since 09/25/2003
WEENIG, MATTHEW (Individual) MANAGING EMPLOYEE since 10/01/2003
WITTEKIND, BEVERLY (Individual) OFFICER since 01/30/2006

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