Royal Garden Extended Care Hos - Alhambra Nursing Home
General Information
UPDATEFederal Provider Number
55818
Provider Name
ROYAL GARDEN EXTENDED CARE HOS
Provider Address
2339 W. VALLEY BLVD.
ALHAMBRA, CA 91803
ALHAMBRA, CA 91803
Provider Phone Number
6262897809
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDINBURG MANAGEMENT ASSOCIATES
Date First Approved to Provide Medicare and Medicaid services
1968-04-03
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00488
Reported LPN Staffing Hours per Resident per Day
0.97561
Reported RN Staffing Hours per Resident per Day
0.55366
Reported Licensed Staffing Hours per Resident per Day
1.52927
Reported Total Nurse Staffing Hours per Resident per Day
4.53415
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06220
Expected CNA Staffing Hours per Resident per Day
2.55026
Expected LPN Staffing Hours per Resident per Day
0.67042
Expected RN Staffing Hours per Resident per Day
0.94500
Expected Total Nurse Staffing Hours per Resident per Day
4.16568
Adjusted CNA Staffing Hours per Resident per Day
2.89110
Adjusted LPN Staffing Hours per Resident per Day
1.20784
Adjusted RN Staffing Hours per Resident per Day
0.43777
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38744
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
68
Cycle 1 Standard Survey Health Date
2014-02-15
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
21
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2012-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
48
Cycle 3 Standard Health Survey Date
2012-04-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
75.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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