Colonial Gardens Nursing Home - Pico Rivera Nursing Home
General Information
UPDATEFederal Provider Number
555715
Provider Name
COLONIAL GARDENS NURSING HOME
Provider Address
7246 S. ROSEMEAD BLVD.
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
Provider Phone Number
(562) 949-2591
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
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERA SANATARIUM INC
Date First Approved to Provide Medicare and Medicaid services
1997-12-03
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.10526
Reported LPN Staffing Hours per Resident per Day
0.27947
Reported RN Staffing Hours per Resident per Day
0.26474
Reported Licensed Staffing Hours per Resident per Day
0.54421
Reported Total Nurse Staffing Hours per Resident per Day
2.64947
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06000
Expected CNA Staffing Hours per Resident per Day
1.88423
Expected LPN Staffing Hours per Resident per Day
0.50997
Expected RN Staffing Hours per Resident per Day
0.88012
Expected Total Nurse Staffing Hours per Resident per Day
3.27433
Adjusted CNA Staffing Hours per Resident per Day
2.74153
Adjusted LPN Staffing Hours per Resident per Day
0.45485
Adjusted RN Staffing Hours per Resident per Day
0.22476
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26166
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-07-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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