Eisenhower Healthcare Center - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
55617
Provider Name
EISENHOWER HEALTHCARE CENTER
Provider Address
1470 N FAIR OAKS AVE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 798-9133
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1972-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.18143
Reported LPN Staffing Hours per Resident per Day
1.00500
Reported RN Staffing Hours per Resident per Day
0.68214
Reported Licensed Staffing Hours per Resident per Day
1.68714
Reported Total Nurse Staffing Hours per Resident per Day
3.86857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03643
Expected CNA Staffing Hours per Resident per Day
2.24046
Expected LPN Staffing Hours per Resident per Day
0.55271
Expected RN Staffing Hours per Resident per Day
0.99644
Expected Total Nurse Staffing Hours per Resident per Day
3.78961
Adjusted CNA Staffing Hours per Resident per Day
2.38905
Adjusted LPN Staffing Hours per Resident per Day
1.50921
Adjusted RN Staffing Hours per Resident per Day
0.51152
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11489
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
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
52
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
2013-06-14
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
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
56.66700
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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