Methodist Hospital Of So. Ca - Arcadia Nursing Home
General Information
UPDATEFederal Provider Number
555489
Provider Name
METHODIST HOSPITAL OF SO. CA
Provider Address
300 WEST HUNTINGTON DRIVE
ARCADIA, CA 91006
ARCADIA, CA 91006
Provider Phone Number
(626) 821-6946
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
26
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
METHODIST HOSPITAL OF SOUTHERN CALIFORNIA
Date First Approved to Provide Medicare and Medicaid services
1992-01-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.88333
Reported LPN Staffing Hours per Resident per Day
1.35952
Reported RN Staffing Hours per Resident per Day
3.54048
Reported Licensed Staffing Hours per Resident per Day
4.90000
Reported Total Nurse Staffing Hours per Resident per Day
7.78333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.62857
Expected CNA Staffing Hours per Resident per Day
2.52123
Expected LPN Staffing Hours per Resident per Day
0.97839
Expected RN Staffing Hours per Resident per Day
1.77235
Expected Total Nurse Staffing Hours per Resident per Day
5.27197
Adjusted CNA Staffing Hours per Resident per Day
2.80610
Adjusted LPN Staffing Hours per Resident per Day
1.15332
Adjusted RN Staffing Hours per Resident per Day
1.49262
Adjusted Total Nurse Staffing Hours per Resident per Day
5.95106
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-01-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-10-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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