Pico Rivera Health Care Center - Pico Rivera Nursing Home
General Information
UPDATEFederal Provider Number
55170
Provider Name
PICO RIVERA HEALTH CARE CENTER
Provider Address
9140 VERNER STREET
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
Provider Phone Number
(562) 948-1961
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
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PICO RIVERA HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.78261
Reported LPN Staffing Hours per Resident per Day
0.77337
Reported RN Staffing Hours per Resident per Day
0.55543
Reported Licensed Staffing Hours per Resident per Day
1.32880
Reported Total Nurse Staffing Hours per Resident per Day
4.11141
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14837
Expected CNA Staffing Hours per Resident per Day
2.41913
Expected LPN Staffing Hours per Resident per Day
0.66027
Expected RN Staffing Hours per Resident per Day
1.17250
Expected Total Nurse Staffing Hours per Resident per Day
4.25191
Adjusted CNA Staffing Hours per Resident per Day
2.82237
Adjusted LPN Staffing Hours per Resident per Day
0.97217
Adjusted RN Staffing Hours per Resident per Day
0.35396
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89771
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
40
Cycle 1 Standard Survey Health Date
2013-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-01-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2010-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
1
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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