Heritage Manor - Monterey Park Nursing Home
General Information
UPDATEFederal Provider Number
55989
Provider Name
HERITAGE MANOR
Provider Address
610 NORTH GARFIELD AVENUE
MONTEREY PARK, CA 91754
MONTEREY PARK, CA 91754
Provider Phone Number
(626) 573-3141
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
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1970-09-01
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
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56947
Reported LPN Staffing Hours per Resident per Day
0.57105
Reported RN Staffing Hours per Resident per Day
0.74947
Reported Licensed Staffing Hours per Resident per Day
1.32053
Reported Total Nurse Staffing Hours per Resident per Day
3.88999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15105
Expected CNA Staffing Hours per Resident per Day
2.56300
Expected LPN Staffing Hours per Resident per Day
0.61755
Expected RN Staffing Hours per Resident per Day
1.04323
Expected Total Nurse Staffing Hours per Resident per Day
4.22377
Adjusted CNA Staffing Hours per Resident per Day
2.45990
Adjusted LPN Staffing Hours per Resident per Day
0.76750
Adjusted RN Staffing Hours per Resident per Day
0.53680
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71236
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
30.00000
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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