Inland Valley Care And Rehabilitation Center - Pomona Nursing Home
General Information
UPDATEFederal Provider Number
56431
Provider Name
INLAND VALLEY CARE AND REHABILITATION CENTER
Provider Address
250 W. ARTESIA STREET
POMONA, CA 91768
POMONA, CA 91768
Provider Phone Number
(909) 623-7100
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
241
Number of Residents in Certified Beds
226
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INLAND VALLEY PARTNERS, LLC
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.74934
Reported LPN Staffing Hours per Resident per Day
1.74159
Reported RN Staffing Hours per Resident per Day
0.82611
Reported Licensed Staffing Hours per Resident per Day
2.56770
Reported Total Nurse Staffing Hours per Resident per Day
5.31704
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06615
Expected CNA Staffing Hours per Resident per Day
2.54242
Expected LPN Staffing Hours per Resident per Day
0.83653
Expected RN Staffing Hours per Resident per Day
1.24233
Expected Total Nurse Staffing Hours per Resident per Day
4.62128
Adjusted CNA Staffing Hours per Resident per Day
2.65340
Adjusted LPN Staffing Hours per Resident per Day
1.72799
Adjusted RN Staffing Hours per Resident per Day
0.49687
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63778
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-09-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
74.00000
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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