Country Oaks Care Center - Pomona Nursing Home
General Information
UPDATEFederal Provider Number
55247
Provider Name
COUNTRY OAKS CARE CENTER
Provider Address
215 W PEARL ST
POMONA, CA 91768
POMONA, CA 91768
Provider Phone Number
9096221067
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY OAKS PARTNERS LLC
Date First Approved to Provide Medicare and Medicaid services
1971-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.14200
Reported LPN Staffing Hours per Resident per Day
1.97400
Reported RN Staffing Hours per Resident per Day
0.88133
Reported Licensed Staffing Hours per Resident per Day
2.85533
Reported Total Nurse Staffing Hours per Resident per Day
4.99733
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13733
Expected CNA Staffing Hours per Resident per Day
2.71152
Expected LPN Staffing Hours per Resident per Day
1.11225
Expected RN Staffing Hours per Resident per Day
1.60480
Expected Total Nurse Staffing Hours per Resident per Day
5.42858
Adjusted CNA Staffing Hours per Resident per Day
1.93833
Adjusted LPN Staffing Hours per Resident per Day
1.47306
Adjusted RN Staffing Hours per Resident per Day
0.41035
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71068
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-01-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Pomona Vista Care Center
651 N Main St |
POMONA CA 91768 | 0.1 mile away
Park Avenue Healthcare & Wellness Center
1550 North Park Avenue |
POMONA CA 91768 | 0.6 mile away
Inland Valley Care And Rehabilitation Center
250 W. Artesia Street |
POMONA CA 91768 | 0.8 mile away
Laurel Park Behavioral Health Center
1425 Laurel Avenue |
POMONA CA 91767 | 1.2 miles away
Landmark Medical Center
2030 N. Garey Ave. |
POMONA CA 91767 | 1.3 miles away
Country Villa Claremont Health
590 S. Indian Hill Blvd. |
CLAREMONT CA 91711 | 2.4 miles away
Mount San Antonio Gardens
900 E. Harrison Ave |
POMONA CA 91767 | 2.5 miles away
Olive Vista Behavioral Health Center
2335 S Towne Avenue |
POMONA CA 91766 | 2.5 miles away
Chino Valley Health Care Cente
2351 S Towne Avenue |
POMONA CA 91766 | 2.6 miles away
Claremont Manor Care Center
621 W Bonita Ave |
CLAREMONT CA 91711 | 2.7 miles away
Pilgrim Place Hsc
721 W Harrison St |
CLAREMONT CA 91711 | 2.8 miles away
Claremont Care Center
219 E. Foothill Blvd |
POMONA CA 91768 | 3 miles away
Woods Health Services
2600 A Street |
LA VERNE CA 91750 | 3 miles away
Brookdale San Dimas
1740 San Dimas Avenue |
SAN DIMAS CA 91773 | 3.8 miles away
Casa Bonita Convalescent
535 E Bonita Avenue |
SAN DIMAS CA 91773 | 3.9 miles away
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