Santa Anita Convalescent Hosp - Temple City Nursing Home

General Information

UPDATE
Federal Provider Number
55293
Provider Name
SANTA ANITA CONVALESCENT HOSP
Provider Address
5522 GRACEWOOD AVE.
TEMPLE CITY, CA 91780
Provider Phone Number
(626) 579-0310
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
391
Number of Residents in Certified Beds
373
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANTA ANITA CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1974-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.86260
Reported LPN Staffing Hours per Resident per Day
0.70657
Reported RN Staffing Hours per Resident per Day
0.55174
Reported Licensed Staffing Hours per Resident per Day
1.25831
Reported Total Nurse Staffing Hours per Resident per Day
4.12091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05228
Expected CNA Staffing Hours per Resident per Day
2.55041
Expected LPN Staffing Hours per Resident per Day
0.67409
Expected RN Staffing Hours per Resident per Day
0.97118
Expected Total Nurse Staffing Hours per Resident per Day
4.19568
Adjusted CNA Staffing Hours per Resident per Day
2.75405
Adjusted LPN Staffing Hours per Resident per Day
0.87000
Adjusted RN Staffing Hours per Resident per Day
0.42450
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95907
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
2014-06-10
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
22
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
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
64
Cycle 3 Standard Health Survey Date
2011-12-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
74.00000
Number of Facility Reported Incidents
1
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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