Blythe Post Acute LLC
285 West Chanslor Way, Blythe, CA 92225


Blythe Post Acute LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555383. The address is 285 West Chanslor Way, Blythe, CA 92225. The zip code is 92225. The phone number is 7609228176.


Blythe Post Acute LLC · 285 West Chanslor Way, Blythe, CA 92225

Federal Provider Number 555383
Provider Name BLYTHE POST ACUTE LLC
Address 285 WEST CHANSLOR WAY
BLYTHE, CA 92225
Phone Number 7609228176
SSA County Code 430
County Name Riverside
Ownership Type For profit - Corporation
Certified Beds 48
Certified Beds Residents 46
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BLYTHE POST ACUTE LLC
Date First Approved to Provide Medicare Medicaid Services 08/01/1989
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 1
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.6087
Reported LPN Staffing Hours per Resident per Day 0.6337
Reported RN Staffing Hours per Resident per Day 0.38261
Reported Licensed Staffing Hours per Resident per Day 1.0163
Reported Total Nurse Staffing Hours per Resident per Day 3.62501
Reported Physical Therapist Staffing Hours per Resident Per Day 0.18913
Expected CNA Staffing Hours per Resident per Day 2.55202
Expected LPN Staffing Hours per Resident per Day 0.66208
Expected RN Staffing Hours per Resident per Day 1.0607
Expected Total Nurse Staffing Hours per Resident per Day 4.27481
Adjusted CNA Staffing Hours per Resident per Day 2.5082
Adjusted LPN Staffing Hours per Resident per Day 0.79442
Adjusted RN Staffing Hours per Resident per Day 0.26952
Adjusted Total Nurse Staffing Hours per Resident per Day 3.41818
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 03/02/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 25
Cycle 2 Number of Standard Health Deficiencies 20
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 140
Cycle 2 Standard Health Survey Date 02/25/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 140
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 03/12/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 83.333
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 · Blythe Post Acute LLC

Owner Name Role Association Date
BLESSING, SANDRA (Individual) MANAGING EMPLOYEE since 01/14/2015
CHAMBERS, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 01/14/2015
CHAMBERS, THOMAS (Individual) OFFICER since 01/14/2015
CHAMBERS, THOMAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/14/2015
CURRIER, KATCHYA (Individual) MANAGING EMPLOYEE since 01/14/2015
JOHNSON, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 01/14/2015
JOHNSON, DAVID (Individual) OFFICER since 01/14/2015
JOHNSON, DAVID (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/14/2015
MERIDIAN MANAGEMENT SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/14/2015

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