Community Care Center - Duarte Nursing Home
General Information
UPDATEFederal Provider Number
05A109
Provider Name
COMMUNITY CARE CENTER
Provider Address
2335 S. MOUNTAIN AVE
DUARTE, CA 91010
DUARTE, CA 91010
Provider Phone Number
(626) 357-3207
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
167
Number of Residents in Certified Beds
149
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03255
Reported LPN Staffing Hours per Resident per Day
0.64430
Reported RN Staffing Hours per Resident per Day
0.43725
Reported Licensed Staffing Hours per Resident per Day
1.08154
Reported Total Nurse Staffing Hours per Resident per Day
3.11410
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.38000
Expected LPN Staffing Hours per Resident per Day
0.45702
Expected RN Staffing Hours per Resident per Day
0.63385
Expected Total Nurse Staffing Hours per Resident per Day
2.47087
Adjusted CNA Staffing Hours per Resident per Day
3.61396
Adjusted LPN Staffing Hours per Resident per Day
1.17012
Adjusted RN Staffing Hours per Resident per Day
0.51544
Adjusted Total Nurse Staffing Hours per Resident per Day
5.08025
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-24
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
36
Cycle 2 Standard Health Survey Date
2013-11-05
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
2
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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