Claremont Manor Care Center - Claremont Nursing Home
General Information
UPDATEFederal Provider Number
555085
Provider Name
CLAREMONT MANOR CARE CENTER
Provider Address
621 W BONITA AVE
CLAREMONT, CA 91711
CLAREMONT, CA 91711
Provider Phone Number
(909) 626-3490
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
59
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRONT PORCH COMMUNITIES OPERATING GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-23
Continuing Care Retirement Community
Y
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
2.46538
Reported LPN Staffing Hours per Resident per Day
0.77212
Reported RN Staffing Hours per Resident per Day
0.59423
Reported Licensed Staffing Hours per Resident per Day
1.36635
Reported Total Nurse Staffing Hours per Resident per Day
3.83173
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09327
Expected CNA Staffing Hours per Resident per Day
2.52846
Expected LPN Staffing Hours per Resident per Day
0.60494
Expected RN Staffing Hours per Resident per Day
0.97635
Expected Total Nurse Staffing Hours per Resident per Day
4.10976
Adjusted CNA Staffing Hours per Resident per Day
2.39248
Adjusted LPN Staffing Hours per Resident per Day
1.05937
Adjusted RN Staffing Hours per Resident per Day
0.45476
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75821
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2012-11-17
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
36
Cycle 3 Standard Health Survey Date
2011-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
46.66700
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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