Lake Forest Nursing Center
25652 Old Trabuco Road, Lake Forest, CA 92630


Lake Forest Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555308. The address is 25652 Old Trabuco Road, Lake Forest, CA 92630. The zip code is 92630. The phone number is 9493809380.


Lake Forest Nursing Center · 25652 Old Trabuco Road, Lake Forest, CA 92630

Federal Provider Number 555308
Provider Name LAKE FOREST NURSING CENTER
Address 25652 OLD TRABUCO ROAD
LAKE FOREST, CA 92630
Phone Number 9493809380
SSA County Code 400
County Name Orange
Ownership Type For profit - Corporation
Certified Beds 175
Certified Beds Residents 131
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EL TORO MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 06/28/1988
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 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 3
Reported LPN Staffing Hours per Resident per Day 1.54504
Reported RN Staffing Hours per Resident per Day 0.73626
Reported Licensed Staffing Hours per Resident per Day 2.2813
Reported Total Nurse Staffing Hours per Resident per Day 2.2813
Reported Physical Therapist Staffing Hours per Resident Per Day 0.38931
Expected CNA Staffing Hours per Resident per Day 2.73589
Expected LPN Staffing Hours per Resident per Day 0.79226
Expected RN Staffing Hours per Resident per Day 1.35865
Expected Total Nurse Staffing Hours per Resident per Day 4.8868
Adjusted LPN Staffing Hours per Resident per Day 1.61865
Adjusted RN Staffing Hours per Resident per Day 0.40491
Adjusted Total Nurse Staffing Hours per Resident per Day 1.88174
Cycle 1 Total Number of Health Deficiencies 31
Cycle 1 Number of Standard Health Deficiencies 23
Cycle 1 Number of Complaint Health Deficiencies 9
Cycle 1 Health Deficiency Score 128
Cycle 1 Standard Survey Health Date 05/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 128
Cycle 2 Total Number of Health Deficiencies 20
Cycle 2 Number of Standard Health Deficiencies 16
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 96
Cycle 2 Standard Health Survey Date 06/16/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 96
Cycle 3 Total Number of Health Deficiencies 18
Cycle 3 Number of Standard Health Deficiencies 17
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 92
Cycle 3 Standard Health Survey Date 05/21/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 92
Total Weighted Health Survey Score 111.333
Number of Facility Reported Incidents 4
Number of Substantiated Complaints 9
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lake Forest Nursing Center

Owner Name Role Association Date
CROSS, CINDY (Individual) OFFICER since 02/03/1994
LIFE CARE AFFILIATES II (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 12/31/1991
LIFE CARE AFFILIATES II (Organization) PARTNERSHIP INTEREST since 12/31/1991
LIFE CARE CENTERS OF AMERICA, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/01/1988
PRESTON, FORREST (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
since 09/08/1988
PRESTON, FORREST (Individual) PARTNERSHIP INTEREST since 09/08/1988
THURMOND, JOAN (Individual) OFFICER since 09/21/2000
VELASCO-FORTUNE, ROSIE (Individual) MANAGING EMPLOYEE since 06/15/2015

street_number: 25652
route: Old Trabuco Road (Old Trabuco Rd)
locality, political: Lake Forest
admin_level_2, political: Orange County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 92630
postal_code_suffix: 2776
types : premise
latitude: 33.6452656
longitude: -117.6826525
latlng: (33.6452656, -117.6826525)


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