Claremont Care Center - Pomona Nursing Home
General Information
UPDATEFederal Provider Number
55394
Provider Name
CLAREMONT CARE CENTER
Provider Address
219 E. FOOTHILL BLVD
POMONA, CA 91768
POMONA, CA 91768
Provider Phone Number
(909) 593-1391
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAREMONT FOOTHILLS HEALTH ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1980-11-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.73656
Reported LPN Staffing Hours per Resident per Day
0.89516
Reported RN Staffing Hours per Resident per Day
0.77419
Reported Licensed Staffing Hours per Resident per Day
1.66935
Reported Total Nurse Staffing Hours per Resident per Day
4.40591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20645
Expected CNA Staffing Hours per Resident per Day
2.59537
Expected LPN Staffing Hours per Resident per Day
0.72725
Expected RN Staffing Hours per Resident per Day
1.19231
Expected Total Nurse Staffing Hours per Resident per Day
4.51493
Adjusted CNA Staffing Hours per Resident per Day
2.58719
Adjusted LPN Staffing Hours per Resident per Day
1.02164
Adjusted RN Staffing Hours per Resident per Day
0.48517
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93357
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-01-25
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-10-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
76
Cycle 3 Standard Health Survey Date
2011-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
52.66700
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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