Pasadena Meadows Nursing Center - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
56080
Provider Name
PASADENA MEADOWS NURSING CENTER
Provider Address
150 BELLEFONTAINE
PASADENA, CA 91105
PASADENA, CA 91105
Provider Phone Number
(626) 796-1103
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
130
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1970-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
3.00950
Reported LPN Staffing Hours per Resident per Day
1.41612
Reported RN Staffing Hours per Resident per Day
0.60000
Reported Licensed Staffing Hours per Resident per Day
2.01612
Reported Total Nurse Staffing Hours per Resident per Day
5.02562
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10579
Expected CNA Staffing Hours per Resident per Day
2.40446
Expected LPN Staffing Hours per Resident per Day
0.68247
Expected RN Staffing Hours per Resident per Day
1.26637
Expected Total Nurse Staffing Hours per Resident per Day
4.35330
Adjusted CNA Staffing Hours per Resident per Day
3.07113
Adjusted LPN Staffing Hours per Resident per Day
1.72225
Adjusted RN Staffing Hours per Resident per Day
0.35402
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65343
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-09-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
66.66700
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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