Kindred Transitional Care And Rehab-foothil - Glendora Nursing Home

General Information

UPDATE
Federal Provider Number
555416
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB-FOOTHIL
Provider Address
401 W. ADA AVE.
GLENDORA, CA 91741
Provider Phone Number
(626) 335-9810
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOOTHILL NURSING COMPANY PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1990-04-13
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
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.03276
Reported LPN Staffing Hours per Resident per Day
1.56379
Reported RN Staffing Hours per Resident per Day
1.79368
Reported Licensed Staffing Hours per Resident per Day
3.35747
Reported Total Nurse Staffing Hours per Resident per Day
6.39023
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27989
Expected CNA Staffing Hours per Resident per Day
2.48222
Expected LPN Staffing Hours per Resident per Day
0.79556
Expected RN Staffing Hours per Resident per Day
1.54509
Expected Total Nurse Staffing Hours per Resident per Day
4.82286
Adjusted CNA Staffing Hours per Resident per Day
2.99792
Adjusted LPN Staffing Hours per Resident per Day
1.63150
Adjusted RN Staffing Hours per Resident per Day
0.86742
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34089
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
24
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2013-03-19
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
101
Cycle 2 Total Health Score
245
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-01-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
133.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
17713
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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