Citrus Valley Medical Center - Ic Campus - D/p Snf - Covina Nursing Home

General Information

UPDATE
Federal Provider Number
555610
Provider Name
CITRUS VALLEY MEDICAL CENTER - IC CAMPUS - D/P SNF
Provider Address
210 W. SAN BERNARDINO RD.
COVINA, CA 91723
Provider Phone Number
(626) 331-7331
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
12
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CITRUS VALLEY MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1994-10-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
4
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
3.28750
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
5.71667
Reported Licensed Staffing Hours per Resident per Day
5.71667
Reported Total Nurse Staffing Hours per Resident per Day
9.00417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45417
Expected CNA Staffing Hours per Resident per Day
2.70423
Expected LPN Staffing Hours per Resident per Day
1.23279
Expected RN Staffing Hours per Resident per Day
2.28014
Expected Total Nurse Staffing Hours per Resident per Day
6.21717
Adjusted CNA Staffing Hours per Resident per Day
2.98293
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.87335
Adjusted Total Nurse Staffing Hours per Resident per Day
5.83785
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
40.00000
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
Reviews: Be the first to review this provider.

Share your experience with Citrus Valley Medical Center - Ic Campus - D/p Snf. You can help others by writing a review.


Ask the Community

Connect, Seek Advice, Share Knowledge

Nursiong Homes Nearby

Covina Rehabilitation Center

261 W. Badillo Street | COVINA CA 91723 | 0.1 mile away

Royal Crest Health Care

519 W. Badillo St. | COVINA CA 91722 | 0.4 mile away

The Rowland

330 W. Rowland Ave. | COVINA CA 91723 | 0.7 mile away

Glendora Grand, Inc

805 W. Arrow Hwy. | GLENDORA CA 91740 | 1.6 miles away

Beacon Healthcare Center

919 N Sunset Ave | WEST COVINA CA 91790 | 2.4 miles away

Clara Baldwin Stocker Home

527 S Valinda Avenue | WEST COVINA CA 91790 | 2.4 miles away

Gladstone Care And Rehabilitat

435 E. Gladstone Avenue | GLENDORA CA 91740 | 2.8 miles away

West Haven Healthcare

1495 West Cameron Ave. | WEST COVINA CA 91790 | 3 miles away

Doctors Hosp Of West Covina

725 S. Orange Avenue | WEST COVINA CA 91790 | 3.2 miles away

Arbor Glen Care Center

1033 E. Arrow Highway | GLENDORA CA 91740 | 3.2 miles away

West Covina Healthcare Center

850 S. Sunkist Ave. | WEST COVINA CA 91790 | 3.4 miles away

Kindred Transitional Care And Rehab-foothil

401 W. Ada Ave. | GLENDORA CA 91741 | 3.4 miles away

Mesa Glen Care Center

638 E Colorado Avenue | GLENDORA CA 91740 | 3.4 miles away

Victoria Care Center

3541 Puente Avenue | BALDWIN PARK CA 91706 | 3.6 miles away

Coast Care Convalescent Center

14518 E. Los Angeles St. | BALDWIN PARK CA 91706 | 3.8 miles away