Del Mar Convalescent Hospital - Rosemead Nursing Home
General Information
UPDATEFederal Provider Number
555081
Provider Name
DEL MAR CONVALESCENT HOSPITAL
Provider Address
3136 NORTH DEL MAR AVENUE
ROSEMEAD, CA 91770
ROSEMEAD, CA 91770
Provider Phone Number
(626) 288-8353
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
59
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GIBRALTAR CONVALESCENT HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1978-02-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.46091
Reported LPN Staffing Hours per Resident per Day
0.03091
Reported RN Staffing Hours per Resident per Day
0.94273
Reported Licensed Staffing Hours per Resident per Day
0.97364
Reported Total Nurse Staffing Hours per Resident per Day
3.43455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17364
Expected CNA Staffing Hours per Resident per Day
2.49266
Expected LPN Staffing Hours per Resident per Day
0.67736
Expected RN Staffing Hours per Resident per Day
1.12877
Expected Total Nurse Staffing Hours per Resident per Day
4.29878
Adjusted CNA Staffing Hours per Resident per Day
2.42245
Adjusted LPN Staffing Hours per Resident per Day
0.03788
Adjusted RN Staffing Hours per Resident per Day
0.62405
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22052
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2012-11-10
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-08-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
29.33300
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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