Pacific Grove Convalescent Hospital - Pacific Grove Nursing Home
General Information
UPDATEFederal Provider Number
55356
Provider Name
PACIFIC GROVE CONVALESCENT HOSPITAL
Provider Address
200 LIGHTHOUSE AVENUE
PACIFIC GROVE, CA 93950
PACIFIC GROVE, CA 93950
Provider Phone Number
(831) 375-2695
Provider SSA County
370
Provider County Name
Monterey
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
P.G.H.C.C., INC
Date First Approved to Provide Medicare and Medicaid services
1971-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.26341
Reported LPN Staffing Hours per Resident per Day
0.08415
Reported RN Staffing Hours per Resident per Day
1.53293
Reported Licensed Staffing Hours per Resident per Day
1.61707
Reported Total Nurse Staffing Hours per Resident per Day
4.88049
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23537
Expected CNA Staffing Hours per Resident per Day
2.36560
Expected LPN Staffing Hours per Resident per Day
0.55253
Expected RN Staffing Hours per Resident per Day
0.87307
Expected Total Nurse Staffing Hours per Resident per Day
3.79119
Adjusted CNA Staffing Hours per Resident per Day
3.38495
Adjusted LPN Staffing Hours per Resident per Day
0.12641
Adjusted RN Staffing Hours per Resident per Day
1.31193
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18907
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-14
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
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
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