Atherton Baptist Home - Alhambra Nursing Home
General Information
UPDATEFederal Provider Number
555272
Provider Name
ATHERTON BAPTIST HOME
Provider Address
214 SOUTH ATLANTIC BLVD.
ALHAMBRA, CA 91801
ALHAMBRA, CA 91801
Provider Phone Number
(626) 289-4178
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATHERTON BAPTIST HOMES
Date First Approved to Provide Medicare and Medicaid services
1987-03-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.70160
Reported LPN Staffing Hours per Resident per Day
1.17872
Reported RN Staffing Hours per Resident per Day
0.57500
Reported Licensed Staffing Hours per Resident per Day
1.75372
Reported Total Nurse Staffing Hours per Resident per Day
4.45532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01968
Expected CNA Staffing Hours per Resident per Day
2.39508
Expected LPN Staffing Hours per Resident per Day
0.57150
Expected RN Staffing Hours per Resident per Day
0.86399
Expected Total Nurse Staffing Hours per Resident per Day
3.83057
Adjusted CNA Staffing Hours per Resident per Day
2.76773
Adjusted LPN Staffing Hours per Resident per Day
1.71187
Adjusted RN Staffing Hours per Resident per Day
0.49727
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68832
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
56
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
47.33300
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
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