Monrovia Convalescent Hospital - Duarte Nursing Home

General Information

UPDATE
Federal Provider Number
55259
Provider Name
MONROVIA CONVALESCENT HOSPITAL
Provider Address
1220 E. HUNTINGTON DRIVE
DUARTE, CA 91010
Provider Phone Number
(626) 359-6618
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONROVIA HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.84038
Reported LPN Staffing Hours per Resident per Day
0.68462
Reported RN Staffing Hours per Resident per Day
0.51667
Reported Licensed Staffing Hours per Resident per Day
1.20128
Reported Total Nurse Staffing Hours per Resident per Day
4.04167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04231
Expected CNA Staffing Hours per Resident per Day
2.26630
Expected LPN Staffing Hours per Resident per Day
0.62464
Expected RN Staffing Hours per Resident per Day
0.91721
Expected Total Nurse Staffing Hours per Resident per Day
3.80815
Adjusted CNA Staffing Hours per Resident per Day
3.07526
Adjusted LPN Staffing Hours per Resident per Day
0.90970
Adjusted RN Staffing Hours per Resident per Day
0.42090
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27808
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
57.33300
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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