Santa Teresita Manor - Duarte Nursing Home
General Information
UPDATEFederal Provider Number
55139
Provider Name
SANTA TERESITA MANOR
Provider Address
819 BUENA VISTA ST.
DUARTE, CA 91010
DUARTE, CA 91010
Provider Phone Number
6269323495
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Church related
Number of Certified Beds
133
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANTA TERESITA MEDICAL 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
Both
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
2.27083
Reported LPN Staffing Hours per Resident per Day
0.81250
Reported RN Staffing Hours per Resident per Day
0.61458
Reported Licensed Staffing Hours per Resident per Day
1.42708
Reported Total Nurse Staffing Hours per Resident per Day
3.69791
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.32959
Expected LPN Staffing Hours per Resident per Day
0.59771
Expected RN Staffing Hours per Resident per Day
0.93410
Expected Total Nurse Staffing Hours per Resident per Day
3.86140
Adjusted CNA Staffing Hours per Resident per Day
2.39181
Adjusted LPN Staffing Hours per Resident per Day
1.12826
Adjusted RN Staffing Hours per Resident per Day
0.49161
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86024
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-03-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-11-30
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
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
58.00000
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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Methodist Hospital Of So. Ca
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Coast Care Convalescent Center
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