Walnut Village Rehabilitation and Care Center
1401 W Ball Road, Anaheim, CA 92802


Walnut Village Rehabilitation and Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555472. The address is 1401 W Ball Road, Anaheim, CA 92802. The zip code is 92802. The phone number is 7147767150.


Walnut Village Rehabilitation and Care Center · 1401 W Ball Road, Anaheim, CA 92802

Federal Provider Number 555472
Provider Name WALNUT VILLAGE REHABILITATION AND CARE CENTER
Address 1401 W BALL ROAD
ANAHEIM, CA 92802
Phone Number 7147767150
SSA County Code 400
County Name Orange
Ownership Type Non profit - Corporation
Certified Beds 99
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FRONT PORCH COMMUNITIES AND SERVICES
Date First Approved to Provide Medicare Medicaid Services 08/23/1991
Continuing Care Retirement Community true
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 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 3.10357
Reported LPN Staffing Hours per Resident per Day 1.35214
Reported RN Staffing Hours per Resident per Day 0.83286
Reported Licensed Staffing Hours per Resident per Day 2.185
Reported Total Nurse Staffing Hours per Resident per Day 5.28857
Reported Physical Therapist Staffing Hours per Resident Per Day 0.16357
Expected CNA Staffing Hours per Resident per Day 2.60712
Expected LPN Staffing Hours per Resident per Day 0.75623
Expected RN Staffing Hours per Resident per Day 1.37522
Expected Total Nurse Staffing Hours per Resident per Day 4.73857
Adjusted CNA Staffing Hours per Resident per Day 2.92094
Adjusted LPN Staffing Hours per Resident per Day 1.48403
Adjusted RN Staffing Hours per Resident per Day 0.45252
Adjusted Total Nurse Staffing Hours per Resident per Day 4.49876
Cycle 1 Total Number of Health Deficiencies 22
Cycle 1 Number of Standard Health Deficiencies 13
Cycle 1 Number of Complaint Health Deficiencies 11
Cycle 1 Health Deficiency Score 96
Cycle 1 Standard Survey Health Date 07/15/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 96
Cycle 2 Total Number of Health Deficiencies 22
Cycle 2 Number of Standard Health Deficiencies 15
Cycle 2 Number of Complaint Health Deficiencies 7
Cycle 2 Health Deficiency Score 100
Cycle 2 Standard Health Survey Date 07/08/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 100
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 06/13/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 87.333
Number of Substantiated Complaints 11
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Walnut Village Rehabilitation and Care Center

Owner Name Role Association Date
BROWN, JAMES (Individual) DIRECTOR since 10/01/2006
COTTON, ELIZABETH (Individual) DIRECTOR since 10/01/2006
COUGHLIN, SONDRA (Individual) MANAGING EMPLOYEE since 10/01/2006
FRONT PORCH COMMUNITIES AND SERVICES (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2006
HUDSON, HOWARD (Individual) DIRECTOR since 10/01/2006
JACOBSEN, ROBERTA (Individual) DIRECTOR since 10/01/2006
KELLER, MARY (Individual) DIRECTOR since 10/01/2006
KENNISON, MARTIN (Individual) DIRECTOR since 10/01/2006
MCCORMACK, JOSEPH (Individual) DIRECTOR since 10/01/2006
NORTH, LYNN (Individual) DIRECTOR since 10/01/2006
PEDUZZI, JOSEPH (Individual) MANAGING EMPLOYEE since 10/09/2008
PLEJDRUP, MARLIN (Individual) DIRECTOR since 10/01/2006
SCHWAB, TIMOTHY (Individual) DIRECTOR since 10/01/2006
SWALES, MORT (Individual) DIRECTOR since 10/01/2006
WHEELER, GARY (Individual) DIRECTOR since 10/01/2006
WHITTAKER, SUSAN (Individual) DIRECTOR since 10/01/2006

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