Mission Hills Post Acute Care
3680 Reynard Way, San Diego, CA 92103


Mission Hills Post Acute Care is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056401. The address is 3680 Reynard Way, San Diego, CA 92103. The zip code is 92103. The phone number is 6192974484.


Mission Hills Post Acute Care · 3680 Reynard Way, San Diego, CA 92103

Federal Provider Number 056401
Provider Name MISSION HILLS POST ACUTE CARE
Address 3680 REYNARD WAY
SAN DIEGO, CA 92103
Phone Number 6192974484
SSA County Code 470
County Name San Diego
Ownership Type For profit - Corporation
Certified Beds 75
Certified Beds Residents 62
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PORTSIDE HEALTHCARE INC
Date First Approved to Provide Medicare Medicaid Services 07/01/1973
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 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.53226
Reported LPN Staffing Hours per Resident per Day 0.64758
Reported RN Staffing Hours per Resident per Day 1.87016
Reported Licensed Staffing Hours per Resident per Day 2.51774
Reported Total Nurse Staffing Hours per Resident per Day 5.05
Reported Physical Therapist Staffing Hours per Resident Per Day 0.31694
Expected CNA Staffing Hours per Resident per Day 2.37623
Expected LPN Staffing Hours per Resident per Day 0.67856
Expected RN Staffing Hours per Resident per Day 1.40285
Expected Total Nurse Staffing Hours per Resident per Day 4.45764
Adjusted CNA Staffing Hours per Resident per Day 2.61481
Adjusted LPN Staffing Hours per Resident per Day 0.7921
Adjusted RN Staffing Hours per Resident per Day 0.99611
Adjusted Total Nurse Staffing Hours per Resident per Day 4.56655
Cycle 1 Total Number of Health Deficiencies 20
Cycle 1 Number of Standard Health Deficiencies 19
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 104
Cycle 1 Standard Survey Health Date 04/27/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 104
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 8
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 05/15/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 04/18/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 81.333
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 6
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mission Hills Post Acute Care

Owner Name Role Association Date
BURNAM, SOON (Individual) OFFICER since 09/10/2014
CHRISTENSEN, CHRISTOPHER (Individual) DIRECTOR since 08/19/2014
ENSIGN GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/30/2006
HAMMOND, OWEN (Individual) OFFICER since 09/10/2014
KEETCH, CHAD (Individual) OFFICER since 06/01/2014
RAPP, DAMIEN (Individual) MANAGING EMPLOYEE since 12/01/2014
RAPP, DAMIEN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2014
SNAPPER, SUZANNE (Individual) OFFICER since 08/07/2009
THE FLAGSTONE GROUP INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 09/10/2014
WITTEKIND, BEVERLY (Individual) OFFICER since 09/10/2014

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