Clara Baldwin Stocker Home - West Covina Nursing Home
General Information
UPDATEFederal Provider Number
555832
Provider Name
CLARA BALDWIN STOCKER HOME
Provider Address
527 S VALINDA AVENUE
WEST COVINA, CA 91790
WEST COVINA, CA 91790
Provider Phone Number
6269627151
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARA BALDWIN STOCKER HOME
Date First Approved to Provide Medicare and Medicaid services
2006-04-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.18676
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.08824
Reported Licensed Staffing Hours per Resident per Day
1.08824
Reported Total Nurse Staffing Hours per Resident per Day
4.27500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16765
Expected CNA Staffing Hours per Resident per Day
2.22281
Expected LPN Staffing Hours per Resident per Day
0.58211
Expected RN Staffing Hours per Resident per Day
0.90585
Expected Total Nurse Staffing Hours per Resident per Day
3.71077
Adjusted CNA Staffing Hours per Resident per Day
3.51778
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.89764
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64380
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-04-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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West Covina Healthcare Center
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WEST COVINA CA 91790 | 1.3 miles away
Beacon Healthcare Center
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Victoria Care Center
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The Rowland
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Garden View Post- Acute Rehabilitation
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Royal Crest Health Care
519 W. Badillo St. |
COVINA CA 91722 | 2.1 miles away
Covina Rehabilitation Center
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Citrus Valley Medical Center - Ic Campus - D/p Snf
210 W. San Bernardino Rd. |
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Coast Care Convalescent Center
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Sierra View Care Center
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El Encanto Healthcare Center
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Glendora Grand, Inc
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Alliance Nursing & Rehab Ctr
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