Mission Lodge Sanitarium - San Gabriel Nursing Home
General Information
UPDATEFederal Provider Number
555863
Provider Name
MISSION LODGE SANITARIUM
Provider Address
824 S GLADYS AVE
SAN GABRIEL, CA 91776
SAN GABRIEL, CA 91776
Provider Phone Number
6262870753
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Partnership
Number of Certified Beds
59
Number of Residents in Certified Beds
28
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2009-12-22
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.95893
Reported LPN Staffing Hours per Resident per Day
0.96964
Reported RN Staffing Hours per Resident per Day
0.61071
Reported Licensed Staffing Hours per Resident per Day
1.58036
Reported Total Nurse Staffing Hours per Resident per Day
4.53928
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07679
Expected CNA Staffing Hours per Resident per Day
2.75672
Expected LPN Staffing Hours per Resident per Day
0.58028
Expected RN Staffing Hours per Resident per Day
0.89937
Expected Total Nurse Staffing Hours per Resident per Day
4.23636
Adjusted CNA Staffing Hours per Resident per Day
2.63368
Adjusted LPN Staffing Hours per Resident per Day
1.38693
Adjusted RN Staffing Hours per Resident per Day
0.50738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31913
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-10
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-12-17
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
36.00000
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
Nursiong Homes Nearby
Mission Care Center
4800 Delta Avenue |
ROSEMEAD CA 91770 | 0.2 mile away
Broadway Healthcare Center
112 E. Broadway |
SAN GABRIEL CA 91776 | 0.7 mile away
Pine Grove Healthcare & Wellness Centre, Lp
126 N. San Gabriel Blvd. |
SAN GABRIEL CA 91775 | 0.8 mile away
San Gabriel Valley Medical Ctr D/p Snf
438 W. Las Tunas Drive |
SAN GABRIEL CA 91776 | 1.1 miles away
Live Oak Rehab Center
537 W Live Oak |
SAN GABRIEL CA 91776 | 1.2 miles away
Vista Cove Care Center At San Gabriel
909 W. Santa Anita Street |
SAN GABRIEL CA 91776 | 1.4 miles away
Ivy Creek Healthcare & Wellness Centre
115 Bridge St. |
SAN GABRIEL CA 91775 | 1.5 miles away
El Monte Convalescent Hospital
4096 Easy Street |
EL MONTE CA 91731 | 1.6 miles away
Monterey Healthcare & Wellness Centre, Lp
1267 San Gabriel Blve |
ROSEMEAD CA 91770 | 1.9 miles away
Del Mar Convalescent Hospital
3136 North Del Mar Avenue |
ROSEMEAD CA 91770 | 2 miles away
Alhambra Healthcare & Wellness Centre, Lp
415 South Garfield |
ALHAMBRA CA 91801 | 2 miles away
San Marino Manor
6812 N. Oak Avenue |
SAN GABRIEL CA 91775 | 2.4 miles away
Marguerite Gardens
700 N Stoneman Ave |
ALHAMBRA CA 91801 | 2.4 miles away
Heritage Manor
610 North Garfield Avenue |
MONTEREY PARK CA 91754 | 2.5 miles away
Santa Anita Convalescent Hosp
5522 Gracewood Ave. |
TEMPLE CITY CA 91780 | 2.6 miles away
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