Golden Cross Health Care - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
555096
Provider Name
GOLDEN CROSS HEALTH CARE
Provider Address
1450 N. FAIR OAKS AVENUE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 791-1948
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1450 NORTH FAIR OAKS LLC
Date First Approved to Provide Medicare and Medicaid services
1978-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.55104
Reported LPN Staffing Hours per Resident per Day
0.82396
Reported RN Staffing Hours per Resident per Day
0.35885
Reported Licensed Staffing Hours per Resident per Day
1.18281
Reported Total Nurse Staffing Hours per Resident per Day
3.73385
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02969
Expected CNA Staffing Hours per Resident per Day
2.43906
Expected LPN Staffing Hours per Resident per Day
0.64109
Expected RN Staffing Hours per Resident per Day
0.90381
Expected Total Nurse Staffing Hours per Resident per Day
3.98395
Adjusted CNA Staffing Hours per Resident per Day
2.56636
Adjusted LPN Staffing Hours per Resident per Day
1.06676
Adjusted RN Staffing Hours per Resident per Day
0.29667
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77785
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2015-03-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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