Bellflower Convalescent Hospit - Bellflower Nursing Home
General Information
UPDATEFederal Provider Number
55408
Provider Name
BELLFLOWER CONVALESCENT HOSPIT
Provider Address
9710 E. ARTESIA AVE
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
Provider Phone Number
(562) 925-2274
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
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARYBETH-HEIDI CO.
Date First Approved to Provide Medicare and Medicaid services
1973-05-01
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
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
3.18837
Reported LPN Staffing Hours per Resident per Day
0.73023
Reported RN Staffing Hours per Resident per Day
0.35233
Reported Licensed Staffing Hours per Resident per Day
1.08256
Reported Total Nurse Staffing Hours per Resident per Day
4.27093
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00465
Expected CNA Staffing Hours per Resident per Day
2.10015
Expected LPN Staffing Hours per Resident per Day
0.53716
Expected RN Staffing Hours per Resident per Day
0.68976
Expected Total Nurse Staffing Hours per Resident per Day
3.32708
Adjusted CNA Staffing Hours per Resident per Day
3.72512
Adjusted LPN Staffing Hours per Resident per Day
1.12832
Adjusted RN Staffing Hours per Resident per Day
0.38167
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17442
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-02-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-11-16
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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