Temple City Healthcare - Temple City Nursing Home
General Information
UPDATEFederal Provider Number
56413
Provider Name
TEMPLE CITY HEALTHCARE
Provider Address
5101 TYLER AVENUE
TEMPLE CITY, CA 91780
TEMPLE CITY, CA 91780
Provider Phone Number
(626) 443-3028
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TEMPLE CITY HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-09-27
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.37234
Reported LPN Staffing Hours per Resident per Day
1.15000
Reported RN Staffing Hours per Resident per Day
0.27340
Reported Licensed Staffing Hours per Resident per Day
1.42340
Reported Total Nurse Staffing Hours per Resident per Day
3.79574
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12128
Expected CNA Staffing Hours per Resident per Day
2.19984
Expected LPN Staffing Hours per Resident per Day
0.62177
Expected RN Staffing Hours per Resident per Day
1.06484
Expected Total Nurse Staffing Hours per Resident per Day
3.88645
Adjusted CNA Staffing Hours per Resident per Day
2.64610
Adjusted LPN Staffing Hours per Resident per Day
1.53514
Adjusted RN Staffing Hours per Resident per Day
0.19185
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93682
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
40
Cycle 1 Standard Survey Health Date
2014-03-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2012-12-15
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
40
Cycle 3 Standard Health Survey Date
2011-09-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
40.00000
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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