Contact Information

HARBOR VILLA CARE CENTER
CASA PACIFICA NURSING CENTER LLC
861 S. HARBOR BLVD
ANAHEIM, CA 92805
(714) 635-8131
For profit - Corporation
Medicare certification date2: May 01, 1967
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

  85 residents

  99 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 3
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 85 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 23 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 53 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 22 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 9 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

  • SHERSHER LP
  • WIN WIN ENTERPRISES, LLC
  • SMEDRA, IRA

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • WINTNER, JACOB

MANAGING EMPLOYEE

  • MATARAZZO, LISA

OFFICER

  • EASTON, DOUGLAS
  • SMEDRA, IRA
  • WINTNER, JACOB

OPERATIONAL/MANAGERIAL CONTROL

  • EASTON, DOUGLAS

Nursing Home Report

In 2016, HARBOR VILLA CARE CENTER charged a total of $4,561,813 for 154 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 67.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 13% Alzheimer's 59%
Asthma 49% Cancer 4%
Congestive Heart Failure 40% Kidney Disease 64%
COPD 51% Depression 65%
Diabetes 51% Hyperlipidemia 62%
Hypertension n/a Ischemic Heart Disease 56%
Osteoporosis 16% RA / OA 52%
Schizophrenia n/a Stroke 8%
Demographics
Medicare Beneficiaries 154 Average Age 67
Male 87 Female 67
White 112
Black n/a
Asian 14
Hispanic 22
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Sep 21, 2017; fire safety inspection: Sep 28, 2017

Health Deficiencies as of 09/21/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 2
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 1
Pharmacy Service 2
Environmental Deficiencies 3
Administration Deficiencies 1
Fire Deficiencies as of 09/28/2017
Emergency Preparedness None
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