Gem Transitional - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
55341
Provider Name
GEM TRANSITIONAL
Provider Address
716 SOUTH FAIR OAKS AVE
PASADENA, CA 91105
PASADENA, CA 91105
Provider Phone Number
(626) 397-3322
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GEM HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72807
Reported LPN Staffing Hours per Resident per Day
1.05702
Reported RN Staffing Hours per Resident per Day
1.36930
Reported Licensed Staffing Hours per Resident per Day
2.42632
Reported Total Nurse Staffing Hours per Resident per Day
5.15439
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24035
Expected CNA Staffing Hours per Resident per Day
2.47539
Expected LPN Staffing Hours per Resident per Day
0.65836
Expected RN Staffing Hours per Resident per Day
1.27720
Expected Total Nurse Staffing Hours per Resident per Day
4.41094
Adjusted CNA Staffing Hours per Resident per Day
2.70417
Adjusted LPN Staffing Hours per Resident per Day
1.33260
Adjusted RN Staffing Hours per Resident per Day
0.80108
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71030
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-13
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
32.00000
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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