Contact Information

BROOKDALE SAN JUAN CAPISTRANO
S-H OPCO SAN JUAN CAPISTRANO LLC
31741 RANCHO VIEJO ROAD
SAN JUAN CAPISTRANO, CA 92675
(949) 248-8855
For profit - Corporation
Medicare certification date2: August 31, 2000
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

  40 residents

  45 certified beds

  Participates in Medicare

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 6
Facility reported incidents 2
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 40 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 42 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 26 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 32 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 16 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

  • S-H OPCO SAN JUAN CAPISTRANO LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • COLUMBIA PACIFIC 2016 ACQUISITION II LP
  • CP RIDEA JV LLC
  • CP VENTURE I LP
  • FUTURE FUND BOARD OF GUARDIANS
  • HCP OPCO VENTURES VI LLC
  • S-H FORTY-NINE OPCO VENTURES LLC
  • SHP REIT I LLC
  • SHP REIT I TRS LLC

MANAGING EMPLOYEE

  • KOONTZ, ROBERT

OFFICER

  • BEERS, CARREY
  • BOWMAN, KEVIN
  • FLYNT, STEVEN
  • SPRAGINS, ALAN
  • WASHBURN, ALEXANDER
  • YOUNG, KENDALL

OPERATIONAL/MANAGERIAL CONTROL

  • BKD TWENTY-ONE MANAGEMENT COMPANY INC

Nursing Home Report

In 2016, BROOKDALE SAN JUAN CAPISTRANO charged a total of $4,981,408 for 254 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 84.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 33% Alzheimer's 57%
Asthma 35% Cancer 16%
Congestive Heart Failure 55% Kidney Disease 64%
COPD 33% Depression 60%
Diabetes 29% Hyperlipidemia 69%
Hypertension n/a Ischemic Heart Disease 60%
Osteoporosis 27% RA / OA 69%
Schizophrenia 12% Stroke 19%
Demographics
Medicare Beneficiaries 254 Average Age 84
Male 95 Female 159
White 239
Black n/a
Asian n/a
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Oct 19, 2017; fire safety inspection: Nov 15, 2017

Health Deficiencies as of 10/19/2017
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 None
Nutrition and Dietary Deficiencies 2
Pharmacy Service None
Environmental Deficiencies 2
Administration Deficiencies 3
Fire Deficiencies as of 11/15/2017
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