Royal Crest Health Care - Covina Nursing Home
General Information
UPDATEFederal Provider Number
55544
Provider Name
ROYAL CREST HEALTH CARE
Provider Address
519 W. BADILLO ST.
COVINA, CA 91722
COVINA, CA 91722
Provider Phone Number
(626) 915-5621
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAMTRENT, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-25
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.15727
Reported LPN Staffing Hours per Resident per Day
1.12000
Reported RN Staffing Hours per Resident per Day
0.30455
Reported Licensed Staffing Hours per Resident per Day
1.42455
Reported Total Nurse Staffing Hours per Resident per Day
4.58182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04636
Expected CNA Staffing Hours per Resident per Day
2.45881
Expected LPN Staffing Hours per Resident per Day
0.58817
Expected RN Staffing Hours per Resident per Day
0.84739
Expected Total Nurse Staffing Hours per Resident per Day
3.89437
Adjusted CNA Staffing Hours per Resident per Day
3.15071
Adjusted LPN Staffing Hours per Resident per Day
1.58048
Adjusted RN Staffing Hours per Resident per Day
0.26854
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74245
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
56
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
64
Cycle 2 Standard Health Survey Date
2013-01-11
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
56.66700
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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