Saint Vincent Healthcare - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
555119
Provider Name
SAINT VINCENT HEALTHCARE
Provider Address
1810 N. FAIR OAKS AVE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 398-8182
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST VINCENT HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1979-12-17
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
5
QM Rating Footnote
Staffing Rating
3
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
2.29714
Reported LPN Staffing Hours per Resident per Day
0.97571
Reported RN Staffing Hours per Resident per Day
0.51214
Reported Licensed Staffing Hours per Resident per Day
1.48786
Reported Total Nurse Staffing Hours per Resident per Day
3.78499
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10214
Expected CNA Staffing Hours per Resident per Day
2.45701
Expected LPN Staffing Hours per Resident per Day
0.57495
Expected RN Staffing Hours per Resident per Day
0.99066
Expected Total Nurse Staffing Hours per Resident per Day
4.02262
Adjusted CNA Staffing Hours per Resident per Day
2.29405
Adjusted LPN Staffing Hours per Resident per Day
1.40853
Adjusted RN Staffing Hours per Resident per Day
0.38628
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79278
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
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
36
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-06-04
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
58
Cycle 2 Total Health Score
174
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-02-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
0
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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