The Rowland - Covina Nursing Home

General Information

UPDATE
Federal Provider Number
56117
Provider Name
THE ROWLAND
Provider Address
330 W. ROWLAND AVE.
COVINA, CA 91723
Provider Phone Number
6269672741
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROWLAND CONVALESCENT HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.77185
Reported LPN Staffing Hours per Resident per Day
0.78992
Reported RN Staffing Hours per Resident per Day
0.45126
Reported Licensed Staffing Hours per Resident per Day
1.24118
Reported Total Nurse Staffing Hours per Resident per Day
5.01303
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16807
Expected CNA Staffing Hours per Resident per Day
2.59546
Expected LPN Staffing Hours per Resident per Day
0.71038
Expected RN Staffing Hours per Resident per Day
1.11586
Expected Total Nurse Staffing Hours per Resident per Day
4.42170
Adjusted CNA Staffing Hours per Resident per Day
3.56584
Adjusted LPN Staffing Hours per Resident per Day
0.92293
Adjusted RN Staffing Hours per Resident per Day
0.30217
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56996
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
23
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-09-28
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
104.00000
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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West Covina Healthcare Center

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