Sophia Lyn Convalescent Hospital - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
56343
Provider Name
SOPHIA LYN CONVALESCENT HOSPITAL
Provider Address
1570 N. FAIR OAKS AVENUE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 798-0558
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SLCH, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-11-30
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02553
Reported LPN Staffing Hours per Resident per Day
0.12128
Reported RN Staffing Hours per Resident per Day
0.89149
Reported Licensed Staffing Hours per Resident per Day
1.01277
Reported Total Nurse Staffing Hours per Resident per Day
3.03830
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03085
Expected CNA Staffing Hours per Resident per Day
2.18760
Expected LPN Staffing Hours per Resident per Day
0.56914
Expected RN Staffing Hours per Resident per Day
0.91841
Expected Total Nurse Staffing Hours per Resident per Day
3.67515
Adjusted CNA Staffing Hours per Resident per Day
2.27191
Adjusted LPN Staffing Hours per Resident per Day
0.17687
Adjusted RN Staffing Hours per Resident per Day
0.72530
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33241
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-12-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
210
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
105
Cycle 3 Total Health Score
315
Total Weighted Health Survey Score
111.83300
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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