Allen Care Convalescent Hospital Corporation - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
56111
Provider Name
ALLEN CARE CONVALESCENT HOSPITAL CORPORATION
Provider Address
201 ALLEN AVE.
GLENDALE, CA 91201
GLENDALE, CA 91201
Provider Phone Number
(818) 845-8507
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1969-10-17
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
0
QM Rating Footnote
Data Not Available
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
2.60674
Reported RN Staffing Hours per Resident per Day
0.44944
Reported Licensed Staffing Hours per Resident per Day
3.05618
Reported Total Nurse Staffing Hours per Resident per Day
3.05618
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01180
Expected CNA Staffing Hours per Resident per Day
2.35167
Expected LPN Staffing Hours per Resident per Day
0.51556
Expected RN Staffing Hours per Resident per Day
0.73167
Expected Total Nurse Staffing Hours per Resident per Day
3.59889
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
4.19663
Adjusted RN Staffing Hours per Resident per Day
0.45898
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42304
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-04-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2014-01-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
28
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
17
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
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