Contact Information

COUNTRY VILLA HACIENDA HEALTHCARE CENTER
MOUNTAINSIDE OPERATING COMPANY, LLC
1311 EAST DATE STREET
SAN BERNARDINO, CA 92404
(909) 882-3316
For profit - Individual
Medicare certification date2: June 01, 1970
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

  96 residents

  99 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 6
Facility reported incidents 3
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 96 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 22 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 3 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 19 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 6 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

  • DACS VENTURE HOLDINGS LLC
  • JAG VENTURE HOLDINGS
  • MOUNTAINSIDE OPERATING COMPANY, LLC
  • REISSMAN IRRV 1989 TR 050189
  • ROWLES, EDDIE
  • SALTZBURG, JOEL

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • REISSMAN FAMILY TRUST
  • TORGAN FAMILY TRUST
  • CORLETO, RICHARD
  • REISSMAN, DIANE
  • REISSMAN, STEPHEN
  • TORGAN, MICHAEL

MANAGING EMPLOYEE

  • PETTERSON, CHERYL

Nursing Home Report

In 2016, COUNTRY VILLA HACIENDA HEALTHCARE CENTER charged a total of $2,042,190 for 74 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 70.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 8% Alzheimer's 70%
Asthma 45% Cancer 11%
Congestive Heart Failure 49% Kidney Disease 66%
COPD 41% Depression 64%
Diabetes 69% Hyperlipidemia 49%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 12% RA / OA 50%
Schizophrenia 28% Stroke 18%
Demographics
Medicare Beneficiaries 74 Average Age 70
Male 46 Female 28
White 37
Black 16
Asian 0
Hispanic 16
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Jun 08, 2018; fire safety inspection: Sep 19, 2018

Health Deficiencies as of 06/08/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 4
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 1
Pharmacy Service 2
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 09/19/2018
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