Monte Vista Grove Homes - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
555650
Provider Name
MONTE VISTA GROVE HOMES
Provider Address
2889 SAN PASQUAL STREET
PASADENA, CA 91107
PASADENA, CA 91107
Provider Phone Number
6267922712
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
32
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
1995-09-28
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.26250
Reported LPN Staffing Hours per Resident per Day
1.15781
Reported RN Staffing Hours per Resident per Day
0.37813
Reported Licensed Staffing Hours per Resident per Day
1.53594
Reported Total Nurse Staffing Hours per Resident per Day
4.79844
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15625
Expected CNA Staffing Hours per Resident per Day
2.47420
Expected LPN Staffing Hours per Resident per Day
0.54074
Expected RN Staffing Hours per Resident per Day
0.87365
Expected Total Nurse Staffing Hours per Resident per Day
3.88858
Adjusted CNA Staffing Hours per Resident per Day
3.23547
Adjusted LPN Staffing Hours per Resident per Day
1.77717
Adjusted RN Staffing Hours per Resident per Day
0.32340
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97406
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
32
Cycle 2 Standard Health Survey Date
2013-08-10
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.00000
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
San Marino Manor
6812 N. Oak Avenue |
SAN GABRIEL CA 91775 | 1.7 miles away
Two Palms Nursing Center, Inc
2637 E. Washinton Blvd |
PASADENA CA 91107 | 2.1 miles away
Pasadena Park Healthcare And Wellness Center
2585 E. Washington Blvd. |
PASADENA CA 91107 | 2.1 miles away
Pine Grove Healthcare & Wellness Centre, Lp
126 N. San Gabriel Blvd. |
SAN GABRIEL CA 91775 | 2.4 miles away
Arcadia Health Care Center
1601 S Baldwin Ave. |
ARCADIA CA 91006 | 2.5 miles away
Huntington Drive Health And Rehabilitation Center
400 W. Huntinton Dr. |
ARCADIA CA 91007 | 2.6 miles away
Villa Gardens Health Care Unit
842 East Villa Street |
PASADENA CA 91101 | 2.7 miles away
San Gabriel Valley Medical Ctr D/p Snf
438 W. Las Tunas Drive |
SAN GABRIEL CA 91776 | 2.8 miles away
Ivy Creek Healthcare & Wellness Centre
115 Bridge St. |
SAN GABRIEL CA 91775 | 2.8 miles away
Live Oak Rehab Center
537 W Live Oak |
SAN GABRIEL CA 91776 | 2.8 miles away
Broadway Healthcare Center
112 E. Broadway |
SAN GABRIEL CA 91776 | 2.8 miles away
Methodist Hospital Of So. Ca
300 West Huntington Drive |
ARCADIA CA 91006 | 3 miles away
Mission Lodge Sanitarium
824 S Gladys Ave |
SAN GABRIEL CA 91776 | 3.2 miles away
Vista Cove Care Center At San Gabriel
909 W. Santa Anita Street |
SAN GABRIEL CA 91776 | 3.3 miles away
Mission Care Center
4800 Delta Avenue |
ROSEMEAD CA 91770 | 3.3 miles away
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