Broadway Manor Care Center - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
55670
Provider Name
BROADWAY MANOR CARE CENTER
Provider Address
605 WEST BROADWAY
GLENDALE, CA 91204
GLENDALE, CA 91204
Provider Phone Number
(818) 246-7174
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BROADWAY MANOR CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.74452
Reported LPN Staffing Hours per Resident per Day
0.95890
Reported RN Staffing Hours per Resident per Day
1.07260
Reported Licensed Staffing Hours per Resident per Day
2.03151
Reported Total Nurse Staffing Hours per Resident per Day
5.77602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14658
Expected CNA Staffing Hours per Resident per Day
2.48777
Expected LPN Staffing Hours per Resident per Day
0.64533
Expected RN Staffing Hours per Resident per Day
1.09603
Expected Total Nurse Staffing Hours per Resident per Day
4.22914
Adjusted CNA Staffing Hours per Resident per Day
3.69324
Adjusted LPN Staffing Hours per Resident per Day
1.23330
Adjusted RN Staffing Hours per Resident per Day
0.73123
Adjusted Total Nurse Staffing Hours per Resident per Day
5.50528
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-08
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
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-02-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2011-11-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
65.33300
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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