Covina Rehabilitation Center - Covina Nursing Home
General Information
UPDATEFederal Provider Number
55449
Provider Name
COVINA REHABILITATION CENTER
Provider Address
261 W. BADILLO STREET
COVINA, CA 91723
COVINA, CA 91723
Provider Phone Number
(626) 967-3874
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
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVINA CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.15691
Reported LPN Staffing Hours per Resident per Day
1.31543
Reported RN Staffing Hours per Resident per Day
0.79309
Reported Licensed Staffing Hours per Resident per Day
2.10851
Reported Total Nurse Staffing Hours per Resident per Day
4.26543
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06436
Expected CNA Staffing Hours per Resident per Day
2.63766
Expected LPN Staffing Hours per Resident per Day
0.91643
Expected RN Staffing Hours per Resident per Day
1.35456
Expected Total Nurse Staffing Hours per Resident per Day
4.90865
Adjusted CNA Staffing Hours per Resident per Day
2.00648
Adjusted LPN Staffing Hours per Resident per Day
1.19137
Adjusted RN Staffing Hours per Resident per Day
0.43748
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50270
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-10-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
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
72
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
56
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
77.33300
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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