Ivy Creek Healthcare & Wellness Centre - San Gabriel Nursing Home
General Information
UPDATEFederal Provider Number
55441
Provider Name
IVY CREEK HEALTHCARE & WELLNESS CENTRE
Provider Address
115 BRIDGE ST.
SAN GABRIEL, CA 91775
SAN GABRIEL, CA 91775
Provider Phone Number
6262894439
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Individual
Number of Certified Beds
98
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAN GABRIEL HEALTHCARE & WELLNESS CENTRE LP
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
QM Rating Footnote
Staffing Rating
3
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
2.53368
Reported LPN Staffing Hours per Resident per Day
0.88474
Reported RN Staffing Hours per Resident per Day
0.67316
Reported Licensed Staffing Hours per Resident per Day
1.55789
Reported Total Nurse Staffing Hours per Resident per Day
4.09158
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13526
Expected CNA Staffing Hours per Resident per Day
2.38255
Expected LPN Staffing Hours per Resident per Day
0.63490
Expected RN Staffing Hours per Resident per Day
1.05199
Expected Total Nurse Staffing Hours per Resident per Day
4.06944
Adjusted CNA Staffing Hours per Resident per Day
2.60935
Adjusted LPN Staffing Hours per Resident per Day
1.15661
Adjusted RN Staffing Hours per Resident per Day
0.47813
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05283
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
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
44
Cycle 2 Standard Health Survey Date
2012-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
52
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
26
Cycle 3 Total Health Score
78
Total Weighted Health Survey Score
93.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Live Oak Rehab Center
537 W Live Oak |
SAN GABRIEL CA 91776 | 0.3 mile away
San Gabriel Valley Medical Ctr D/p Snf
438 W. Las Tunas Drive |
SAN GABRIEL CA 91776 | 0.4 mile away
Vista Cove Care Center At San Gabriel
909 W. Santa Anita Street |
SAN GABRIEL CA 91776 | 0.6 mile away
Broadway Healthcare Center
112 E. Broadway |
SAN GABRIEL CA 91776 | 0.9 mile away
Marguerite Gardens
700 N Stoneman Ave |
ALHAMBRA CA 91801 | 1 mile away
Alhambra Healthcare & Wellness Centre, Lp
415 South Garfield |
ALHAMBRA CA 91801 | 1.1 miles away
Pine Grove Healthcare & Wellness Centre, Lp
126 N. San Gabriel Blvd. |
SAN GABRIEL CA 91775 | 1.3 miles away
Atherton Baptist Home
214 South Atlantic Blvd. |
ALHAMBRA CA 91801 | 1.5 miles away
Mission Lodge Sanitarium
824 S Gladys Ave |
SAN GABRIEL CA 91776 | 1.5 miles away
Mission Care Center
4800 Delta Avenue |
ROSEMEAD CA 91770 | 1.7 miles away
Alhambra Hospital Med Ctr Dp/snf
100 S Raymond Ave |
ALHAMBRA CA 91801 | 2 miles away
Heritage Manor
610 North Garfield Avenue |
MONTEREY PARK CA 91754 | 2.4 miles away
Sunny View Care Center
1428 S. Marengo Ave. |
ALHAMBRA CA 91803 | 2.5 miles away
Monterey Park Conv Hosp
416 N Garfield Ave |
MONTEREY PARK CA 91754 | 2.6 miles away
Del Mar Convalescent Hospital
3136 North Del Mar Avenue |
ROSEMEAD CA 91770 | 2.7 miles away
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