El Monte Convalescent Hospital - El Monte Nursing Home
General Information
UPDATEFederal Provider Number
55202
Provider Name
EL MONTE CONVALESCENT HOSPITAL
Provider Address
4096 EASY STREET
EL MONTE, CA 91731
EL MONTE, CA 91731
Provider Phone Number
(626) 442-1500
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
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EL MONTE CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1979-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74808
Reported LPN Staffing Hours per Resident per Day
0.75577
Reported RN Staffing Hours per Resident per Day
0.39808
Reported Licensed Staffing Hours per Resident per Day
1.15385
Reported Total Nurse Staffing Hours per Resident per Day
3.90193
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06026
Expected CNA Staffing Hours per Resident per Day
2.45634
Expected LPN Staffing Hours per Resident per Day
0.69466
Expected RN Staffing Hours per Resident per Day
1.06691
Expected Total Nurse Staffing Hours per Resident per Day
4.21792
Adjusted CNA Staffing Hours per Resident per Day
2.74512
Adjusted LPN Staffing Hours per Resident per Day
0.90302
Adjusted RN Staffing Hours per Resident per Day
0.27879
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72892
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2013-07-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-04-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2010-12-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
68.00000
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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