Chandler Convalescent Hospital - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
56190
Provider Name
CHANDLER CONVALESCENT HOSPITAL
Provider Address
525 SOUTH CENTRAL AVENUE
GLENDALE, CA 91204
GLENDALE, CA 91204
Provider Phone Number
(818) 240-1610
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTRAL CONVALESCENT HOSPITAL OF GLENDALE, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-05-11
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.95309
Reported LPN Staffing Hours per Resident per Day
0.80876
Reported RN Staffing Hours per Resident per Day
0.21804
Reported Licensed Staffing Hours per Resident per Day
1.02680
Reported Total Nurse Staffing Hours per Resident per Day
3.97989
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02216
Expected CNA Staffing Hours per Resident per Day
2.55152
Expected LPN Staffing Hours per Resident per Day
0.59861
Expected RN Staffing Hours per Resident per Day
0.87463
Expected Total Nurse Staffing Hours per Resident per Day
4.02476
Adjusted CNA Staffing Hours per Resident per Day
2.83988
Adjusted LPN Staffing Hours per Resident per Day
1.12138
Adjusted RN Staffing Hours per Resident per Day
0.18627
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98596
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-05-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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