Beacon Healthcare Center - West Covina Nursing Home
General Information
UPDATEFederal Provider Number
56331
Provider Name
BEACON HEALTHCARE CENTER
Provider Address
919 N SUNSET AVE
WEST COVINA, CA 91790
WEST COVINA, CA 91790
Provider Phone Number
(626) 962-4489
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SRSW LLC
Date First Approved to Provide Medicare and Medicaid services
1976-06-01
Continuing Care Retirement Community
N
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
4
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
2.52632
Reported LPN Staffing Hours per Resident per Day
1.05263
Reported RN Staffing Hours per Resident per Day
0.40658
Reported Licensed Staffing Hours per Resident per Day
1.45921
Reported Total Nurse Staffing Hours per Resident per Day
3.98553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.34858
Expected LPN Staffing Hours per Resident per Day
0.54248
Expected RN Staffing Hours per Resident per Day
0.75060
Expected Total Nurse Staffing Hours per Resident per Day
3.64166
Adjusted CNA Staffing Hours per Resident per Day
2.63939
Adjusted LPN Staffing Hours per Resident per Day
1.61054
Adjusted RN Staffing Hours per Resident per Day
0.40474
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41153
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
16
Cycle 1 Standard Survey Health Date
2014-07-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-04-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
37.33300
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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