The Californian-pasadena - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
55480
Provider Name
THE CALIFORNIAN-PASADENA
Provider Address
120 BELLEFONTAINE STREET
PASADENA, CA 91105
PASADENA, CA 91105
Provider Phone Number
(626) 793-5114
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CALIFORNIA CONVALESCENT HOSPITAL OF PASADENA, 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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.63370
Reported LPN Staffing Hours per Resident per Day
0.97935
Reported RN Staffing Hours per Resident per Day
1.73261
Reported Licensed Staffing Hours per Resident per Day
2.71196
Reported Total Nurse Staffing Hours per Resident per Day
6.34566
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19891
Expected CNA Staffing Hours per Resident per Day
2.66455
Expected LPN Staffing Hours per Resident per Day
0.75803
Expected RN Staffing Hours per Resident per Day
1.35906
Expected Total Nurse Staffing Hours per Resident per Day
4.78164
Adjusted CNA Staffing Hours per Resident per Day
3.34615
Adjusted LPN Staffing Hours per Resident per Day
1.07234
Adjusted RN Staffing Hours per Resident per Day
0.95258
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34936
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
56
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
50.00000
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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