San Gabriel Conv Center - Rosemead Nursing Home
General Information
UPDATEFederal Provider Number
55181
Provider Name
SAN GABRIEL CONV CENTER
Provider Address
8035 E HILL DRIVE
ROSEMEAD, CA 91770
ROSEMEAD, CA 91770
Provider Phone Number
(626) 280-4820
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
151
Number of Residents in Certified Beds
144
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAN GABRIEL CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
5
QM Rating Footnote
Staffing Rating
1
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
2.48854
Reported LPN Staffing Hours per Resident per Day
0.78160
Reported RN Staffing Hours per Resident per Day
0.36875
Reported Licensed Staffing Hours per Resident per Day
1.15035
Reported Total Nurse Staffing Hours per Resident per Day
3.63889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04375
Expected CNA Staffing Hours per Resident per Day
2.57553
Expected LPN Staffing Hours per Resident per Day
0.67310
Expected RN Staffing Hours per Resident per Day
1.02850
Expected Total Nurse Staffing Hours per Resident per Day
4.27712
Adjusted CNA Staffing Hours per Resident per Day
2.37083
Adjusted LPN Staffing Hours per Resident per Day
0.96380
Adjusted RN Staffing Hours per Resident per Day
0.26790
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42941
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2013-04-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-02-01
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2010-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
48.66700
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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