Rose Garden Convalescent Ctr - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
55862
Provider Name
ROSE GARDEN CONVALESCENT CTR
Provider Address
1899 N RAYMOND AVE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 797-2120
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
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DAVID ROSS, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-12-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.61011
Reported LPN Staffing Hours per Resident per Day
1.19213
Reported RN Staffing Hours per Resident per Day
1.02360
Reported Licensed Staffing Hours per Resident per Day
2.21573
Reported Total Nurse Staffing Hours per Resident per Day
4.82584
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09157
Expected CNA Staffing Hours per Resident per Day
2.55479
Expected LPN Staffing Hours per Resident per Day
0.78897
Expected RN Staffing Hours per Resident per Day
1.20546
Expected Total Nurse Staffing Hours per Resident per Day
4.54922
Adjusted CNA Staffing Hours per Resident per Day
2.50683
Adjusted LPN Staffing Hours per Resident per Day
1.25413
Adjusted RN Staffing Hours per Resident per Day
0.63447
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27600
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-02-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
73.33300
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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