Mount San Antonio Gardens - Pomona Nursing Home
General Information
UPDATEFederal Provider Number
55016
Provider Name
MOUNT SAN ANTONIO GARDENS
Provider Address
900 E. HARRISON AVE
POMONA, CA 91767
POMONA, CA 91767
Provider Phone Number
9096245061
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
65
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CONGREGATIONAL HOMES INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.64846
Reported LPN Staffing Hours per Resident per Day
0.69692
Reported RN Staffing Hours per Resident per Day
1.02692
Reported Licensed Staffing Hours per Resident per Day
1.72385
Reported Total Nurse Staffing Hours per Resident per Day
5.37230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08000
Expected CNA Staffing Hours per Resident per Day
2.36557
Expected LPN Staffing Hours per Resident per Day
0.58584
Expected RN Staffing Hours per Resident per Day
0.90831
Expected Total Nurse Staffing Hours per Resident per Day
3.85973
Adjusted CNA Staffing Hours per Resident per Day
3.78438
Adjusted LPN Staffing Hours per Resident per Day
0.98737
Adjusted RN Staffing Hours per Resident per Day
0.84477
Adjusted Total Nurse Staffing Hours per Resident per Day
5.61056
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-01
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Pilgrim Place Hsc
721 W Harrison St |
CLAREMONT CA 91711 | 0.4 mile away
Claremont Manor Care Center
621 W Bonita Ave |
CLAREMONT CA 91711 | 0.5 mile away
Claremont Care Center
219 E. Foothill Blvd |
POMONA CA 91768 | 1 mile away
Country Villa Claremont Health
590 S. Indian Hill Blvd. |
CLAREMONT CA 91711 | 1.2 miles away
Landmark Medical Center
2030 N. Garey Ave. |
POMONA CA 91767 | 1.4 miles away
Inland Valley Care And Rehabilitation Center
250 W. Artesia Street |
POMONA CA 91768 | 1.8 miles away
Park Avenue Healthcare & Wellness Center
1550 North Park Avenue |
POMONA CA 91768 | 2 miles away
Woods Health Services
2600 A Street |
LA VERNE CA 91750 | 2.4 miles away
Country Oaks Care Center
215 W Pearl St |
POMONA CA 91768 | 2.5 miles away
Pomona Vista Care Center
651 N Main St |
POMONA CA 91768 | 2.5 miles away
Laurel Park Behavioral Health Center
1425 Laurel Avenue |
POMONA CA 91767 | 3.2 miles away
Casa Bonita Convalescent
535 E Bonita Avenue |
SAN DIMAS CA 91773 | 3.7 miles away
Olive Vista Behavioral Health Center
2335 S Towne Avenue |
POMONA CA 91766 | 4.7 miles away
Chino Valley Health Care Cente
2351 S Towne Avenue |
POMONA CA 91766 | 4.8 miles away
Brookdale San Dimas
1740 San Dimas Avenue |
SAN DIMAS CA 91773 | 4.9 miles away
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