Sunrise Convalescent Hospital - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
555213
Provider Name
SUNRISE CONVALESCENT HOSPITAL
Provider Address
1640 N. FAIR OAKS AVENUE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 798-1175
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
D & C CARE CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1985-11-03
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.21774
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.58871
Reported Licensed Staffing Hours per Resident per Day
0.58871
Reported Total Nurse Staffing Hours per Resident per Day
3.80645
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11290
Expected CNA Staffing Hours per Resident per Day
1.99968
Expected LPN Staffing Hours per Resident per Day
0.57715
Expected RN Staffing Hours per Resident per Day
0.87683
Expected Total Nurse Staffing Hours per Resident per Day
3.45366
Adjusted CNA Staffing Hours per Resident per Day
3.94832
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.50167
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44266
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
151
Cycle 1 Standard Survey Health Date
2014-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
151
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2011-08-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
116.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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