Contact Information

COUNTRY VILLA PLAZA CONVALESCENT CENTER
COUNTRY VILLA PLAZA, A CA LTD. PARTNERSHIP
1209 HEMLOCK WAY
SANTA ANA, CA 92707
(714) 546-1966
For profit - Individual
Medicare certification date2: August 01, 1979
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  169 residents

  145 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 13
Facility reported incidents 11
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 169 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 17 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 44 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 48 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • COUNTRY VILLA PLAZA, A CA LTD. PARTNERSHIP
  • REISSMAN FAMILY TRUST
  • REISSMAN IRRV 1989 TR 050189
  • TORGAN FAMILY TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • CORLETO, RICHARD
  • REISSMAN, STEPHEN
  • TORGAN, MICHAEL

MANAGING EMPLOYEE

  • PETTERSON, CHERYL

OFFICER

  • REISSMAN, STEPHEN

Nursing Home Report

In 2016, COUNTRY VILLA PLAZA CONVALESCENT CENTER charged a total of $5,635,432 for 152 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 71.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 18% Alzheimer's 64%
Asthma 52% Cancer 13%
Congestive Heart Failure 49% Kidney Disease 58%
COPD 51% Depression 64%
Diabetes 55% Hyperlipidemia 53%
Hypertension n/a Ischemic Heart Disease 64%
Osteoporosis 16% RA / OA 49%
Schizophrenia 52% Stroke 17%
Demographics
Medicare Beneficiaries 152 Average Age 71
Male 80 Female 72
White 80
Black n/a
Asian 13
Hispanic 53
American Indian n/a
Other 0

Health & Fire Inspection

Most recent health inspection: Mar 28, 2018; fire safety inspection: May 15, 2018

Health Deficiencies as of 03/28/2018
Freedom from Abuse, Neglect, and Exploitation 1
Quality of Life and Care 5
Resident Assessment and Care Planning 5
Nursing and Physician Services None
Resident Rights 4
Nutrition and Dietary Deficiencies 1
Pharmacy Service 5
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 05/15/2018
Emergency Preparedness 1
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also