Pasadena Park Healthcare And Wellness Center - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
55548
Provider Name
PASADENA PARK HEALTHCARE AND WELLNESS CENTER
Provider Address
2585 E. WASHINGTON BLVD.
PASADENA, CA 91107
PASADENA, CA 91107
Provider Phone Number
(626) 463-4105
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAN MARINO GARDENS WELLNESS CENTER, LP
Date First Approved to Provide Medicare and Medicaid services
1968-10-22
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.74539
Reported LPN Staffing Hours per Resident per Day
1.16447
Reported RN Staffing Hours per Resident per Day
0.86908
Reported Licensed Staffing Hours per Resident per Day
2.03355
Reported Total Nurse Staffing Hours per Resident per Day
4.77894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21776
Expected CNA Staffing Hours per Resident per Day
2.41697
Expected LPN Staffing Hours per Resident per Day
0.62036
Expected RN Staffing Hours per Resident per Day
1.11785
Expected Total Nurse Staffing Hours per Resident per Day
4.15518
Adjusted CNA Staffing Hours per Resident per Day
2.78711
Adjusted LPN Staffing Hours per Resident per Day
1.55799
Adjusted RN Staffing Hours per Resident per Day
0.58091
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63601
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-08-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
1
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
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