Chino Valley Health Care Cente - Pomona Nursing Home
General Information
UPDATEFederal Provider Number
55126
Provider Name
CHINO VALLEY HEALTH CARE CENTE
Provider Address
2351 S TOWNE AVENUE
POMONA, CA 91766
POMONA, CA 91766
Provider Phone Number
(909) 628-1245
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHINO VALLEY REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1969-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34109
Reported LPN Staffing Hours per Resident per Day
0.78069
Reported RN Staffing Hours per Resident per Day
0.51485
Reported Licensed Staffing Hours per Resident per Day
1.29554
Reported Total Nurse Staffing Hours per Resident per Day
3.63663
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07079
Expected CNA Staffing Hours per Resident per Day
2.19532
Expected LPN Staffing Hours per Resident per Day
0.58611
Expected RN Staffing Hours per Resident per Day
1.04247
Expected Total Nurse Staffing Hours per Resident per Day
3.82390
Adjusted CNA Staffing Hours per Resident per Day
2.61662
Adjusted LPN Staffing Hours per Resident per Day
1.10555
Adjusted RN Staffing Hours per Resident per Day
0.36902
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83349
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-09-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-06-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
1
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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