Monrovia Gardens Healthcare Center - Monrovia Nursing Home
General Information
UPDATEFederal Provider Number
55367
Provider Name
MONROVIA GARDENS HEALTHCARE CENTER
Provider Address
615 W. DUARTE RD.
MONROVIA, CA 91016
MONROVIA, CA 91016
Provider Phone Number
(626) 358-4547
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AG MONROVIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-12-31
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
5
QM Rating Footnote
Staffing Rating
3
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
2.65759
Reported LPN Staffing Hours per Resident per Day
0.75886
Reported RN Staffing Hours per Resident per Day
0.58924
Reported Licensed Staffing Hours per Resident per Day
1.34810
Reported Total Nurse Staffing Hours per Resident per Day
4.00569
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14177
Expected CNA Staffing Hours per Resident per Day
2.49577
Expected LPN Staffing Hours per Resident per Day
0.61656
Expected RN Staffing Hours per Resident per Day
1.04231
Expected Total Nurse Staffing Hours per Resident per Day
4.15463
Adjusted CNA Staffing Hours per Resident per Day
2.61280
Adjusted LPN Staffing Hours per Resident per Day
1.02157
Adjusted RN Staffing Hours per Resident per Day
0.42241
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88640
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2013-07-26
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-04-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
1
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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