Baldwin Gardens Nursing Center - Temple City Nursing Home
General Information
UPDATEFederal Provider Number
555055
Provider Name
BALDWIN GARDENS NURSING CENTER
Provider Address
10786 LIVE OAK AVENUE
TEMPLE CITY, CA 91780
TEMPLE CITY, CA 91780
Provider Phone Number
(626) 447-3553
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BALDWIN GARDENS NURSING CENTER CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1977-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61182
Reported LPN Staffing Hours per Resident per Day
0.87727
Reported RN Staffing Hours per Resident per Day
0.37636
Reported Licensed Staffing Hours per Resident per Day
1.25364
Reported Total Nurse Staffing Hours per Resident per Day
3.86545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.48656
Expected LPN Staffing Hours per Resident per Day
0.70211
Expected RN Staffing Hours per Resident per Day
1.04543
Expected Total Nurse Staffing Hours per Resident per Day
4.23409
Adjusted CNA Staffing Hours per Resident per Day
2.57731
Adjusted LPN Staffing Hours per Resident per Day
1.03707
Adjusted RN Staffing Hours per Resident per Day
0.26900
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67995
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
20
Cycle 1 Standard Survey Health Date
2014-01-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-10-20
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2011-07-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
45.33300
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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