Contact Information

VI AT LA JOLLA VILLAGE
CCW LA JOLLA, LLC
4171 LAS PALMAS SQUARE
SAN DIEGO, CA 92122
(858) 646-3400
For profit - Corporation
Medicare certification date2: June 26, 2002
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

  48 residents

  60 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 None
Facility reported incidents 1
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 48 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 2 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 18 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 42 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 10 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

  • CC-LA JOLLA, INC.

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • CC-DEVELOPMENT GROUP, INC.
  • P. G. - DANIEL TRUST
  • P. G. - DON #3 TRUST
  • P. G. - JEAN TRUST
  • P. G. - JIM TRUST
  • P. G. - JOHNNY TRUST
  • P. G. - KAREN TRUST
  • P. G. - LINDA TRUST
  • P. G. - NICHOLAS TRUST
  • P. G. - TOM TRUST
  • P. G. - TONY TRUST

MANAGING EMPLOYEE

  • BALL, STEPHANIE
  • BLYS, ELLEN

OFFICER

  • FIELDS, STEPHANIE
  • POORMAN, JOHN
  • RICHARDSON, RANDAL
  • SMITH, GARY

OPERATIONAL/MANAGERIAL CONTROL

  • CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP

Nursing Home Report

In 2016, VI AT LA JOLLA VILLAGE charged a total of $4,767,061 for 264 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 83.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 33% Alzheimer's 23%
Asthma 19% Cancer 16%
Congestive Heart Failure 36% Kidney Disease 40%
COPD 19% Depression 34%
Diabetes 18% Hyperlipidemia 68%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 28% RA / OA n/a
Schizophrenia 2% Stroke 10%
Demographics
Medicare Beneficiaries 264 Average Age 83
Male 73 Female 191
White 248
Black n/a
Asian n/a
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Oct 13, 2017; fire safety inspection: Nov 02, 2017

Health Deficiencies as of 10/13/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 11/02/2017
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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→ 3.5 mi

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POINT LOMA POST ACUTE CENTER

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See also