Mesa Glen Care Center - Glendora Nursing Home

General Information

UPDATE
Federal Provider Number
555854
Provider Name
MESA GLEN CARE CENTER
Provider Address
638 E COLORADO AVENUE
GLENDORA, CA 91740
Provider Phone Number
(626) 963-6091
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
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MESA GLEN HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid services
2008-11-07
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.91310
Reported LPN Staffing Hours per Resident per Day
1.12083
Reported RN Staffing Hours per Resident per Day
0.63155
Reported Licensed Staffing Hours per Resident per Day
1.75238
Reported Total Nurse Staffing Hours per Resident per Day
4.66548
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09524
Expected CNA Staffing Hours per Resident per Day
2.52716
Expected LPN Staffing Hours per Resident per Day
0.65462
Expected RN Staffing Hours per Resident per Day
0.98438
Expected Total Nurse Staffing Hours per Resident per Day
4.16616
Adjusted CNA Staffing Hours per Resident per Day
2.82842
Adjusted LPN Staffing Hours per Resident per Day
1.42112
Adjusted RN Staffing Hours per Resident per Day
0.47938
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51401
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
52
Cycle 2 Standard Health Survey Date
2013-12-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
48.00000
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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