Coast Care Convalescent Center - Baldwin Park Nursing Home
General Information
UPDATEFederal Provider Number
555199
Provider Name
COAST CARE CONVALESCENT CENTER
Provider Address
14518 E. LOS ANGELES ST.
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
Provider Phone Number
(626) 337-7229
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GR8 CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-06-12
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.16771
Reported LPN Staffing Hours per Resident per Day
0.52500
Reported RN Staffing Hours per Resident per Day
0.28542
Reported Licensed Staffing Hours per Resident per Day
0.81042
Reported Total Nurse Staffing Hours per Resident per Day
2.97813
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17813
Expected CNA Staffing Hours per Resident per Day
2.28711
Expected LPN Staffing Hours per Resident per Day
0.62475
Expected RN Staffing Hours per Resident per Day
0.93706
Expected Total Nurse Staffing Hours per Resident per Day
3.84893
Adjusted CNA Staffing Hours per Resident per Day
2.32560
Adjusted LPN Staffing Hours per Resident per Day
0.69748
Adjusted RN Staffing Hours per Resident per Day
0.22759
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11893
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-03-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
2012-11-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
37.33300
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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