Monterey Park Conv Hosp - Monterey Park Nursing Home
General Information
UPDATEFederal Provider Number
55162
Provider Name
MONTEREY PARK CONV HOSP
Provider Address
416 N GARFIELD AVE
MONTEREY PARK, CA 91754
MONTEREY PARK, CA 91754
Provider Phone Number
(626) 280-0280
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONTEREY PARK CONVALESCENT HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.29775
Reported LPN Staffing Hours per Resident per Day
0.46236
Reported RN Staffing Hours per Resident per Day
0.81011
Reported Licensed Staffing Hours per Resident per Day
1.27247
Reported Total Nurse Staffing Hours per Resident per Day
3.57022
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13427
Expected CNA Staffing Hours per Resident per Day
2.49108
Expected LPN Staffing Hours per Resident per Day
0.61523
Expected RN Staffing Hours per Resident per Day
1.02224
Expected Total Nurse Staffing Hours per Resident per Day
4.12855
Adjusted CNA Staffing Hours per Resident per Day
2.26327
Adjusted LPN Staffing Hours per Resident per Day
0.62377
Adjusted RN Staffing Hours per Resident per Day
0.59214
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48577
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-10-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
46.66700
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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