OAK GLEN POST ACUTE
NPI 1043908221
Skilled Nursing Facility in Cherry Valley, CA


Overall Rating: 2 out of 5 stars

NPI Status: Active since April 26, 2023

Contact Information

9246 AVENIDA MIRAVILLA
CHERRY VALLEY, CA
ZIP 92223
Phone: (951) 845-3194

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D0571973
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About OAK GLEN POST ACUTE

This page provides the complete NPI Profile along with additional information for Oak Glen Post Acute, a provider established in Cherry Valley, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1043908221 assigned on April 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Oak Glen Post Acute. The authorized official of this NPI record is John Mitchell (Secretary)

NPI
1043908221
Provider Legal Name
MIRAVILLA SNF HEALTHCARE, LLC
Other Organization Name
OAK GLEN POST ACUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9246 AVENIDA MIRAVILLA CHERRY VALLEY, CA 92223
Location Phone
(951) 845-3194
Mailing Address
262 N UNIVERSITY AVE FARMINGTON, UT 84025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2023
Last Update Date
08-20-2024
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According to the Nursing Home Compare program data, Oak Glen Post Acute has a below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 2 out of 5 stars provide a snapshot of this nursing home quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN MITCHELL

Authorized Official Title
SECRETARY
Authorized Official Phone
(385) 988-3319

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 2 out of 5 stars - Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 3 out of 5 stars - Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 2 out of 5 stars - Below Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 2 out of 5 stars - Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.56 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.24 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover63.6%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeFor profit - Limited Liability company
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds59 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day57 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents7 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints4 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections3 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties3 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines2 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$13655.01
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0571973
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DEVADAS MOSES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oak Glen Post Acute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OAK GLEN POST ACUTE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043908221, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 8 + 0 + 1 + 6 + 2 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043908221.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Skilled Nursing Facility
9246 AVENIDA MIRAVILLA
CHERRY VALLEY, CA 92223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043908221, enumerated as an "organization" on April 26, 2023.

The provider is located at 9246 AVENIDA MIRAVILLA CHERRY VALLEY, CA 92223 and the phone number is (951) 845-3194.

Skilled Nursing Facility with taxonomy code 314000000X.