Glendora Grand, Inc - Glendora Nursing Home
General Information
UPDATEFederal Provider Number
56079
Provider Name
GLENDORA GRAND, INC
Provider Address
805 W. ARROW HWY.
GLENDORA, CA 91740
GLENDORA, CA 91740
Provider Phone Number
(626) 331-0781
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
342
Number of Residents in Certified Beds
317
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLENDORA GRAND, INC.
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.75804
Reported LPN Staffing Hours per Resident per Day
1.06246
Reported RN Staffing Hours per Resident per Day
0.64164
Reported Licensed Staffing Hours per Resident per Day
1.70410
Reported Total Nurse Staffing Hours per Resident per Day
5.46214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06309
Expected CNA Staffing Hours per Resident per Day
2.12518
Expected LPN Staffing Hours per Resident per Day
0.56278
Expected RN Staffing Hours per Resident per Day
0.94269
Expected Total Nurse Staffing Hours per Resident per Day
3.63065
Adjusted CNA Staffing Hours per Resident per Day
4.33897
Adjusted LPN Staffing Hours per Resident per Day
1.56695
Adjusted RN Staffing Hours per Resident per Day
0.50858
Adjusted Total Nurse Staffing Hours per Resident per Day
6.06430
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
134.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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