Victoria Care Center - Baldwin Park Nursing Home
General Information
UPDATEFederal Provider Number
555107
Provider Name
VICTORIA CARE CENTER
Provider Address
3541 PUENTE AVENUE
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
Provider Phone Number
(626) 962-1043
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PUENTE PARTNERS LLC
Date First Approved to Provide Medicare and Medicaid services
1979-02-05
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41023
Reported LPN Staffing Hours per Resident per Day
0.51136
Reported RN Staffing Hours per Resident per Day
0.93977
Reported Licensed Staffing Hours per Resident per Day
1.45114
Reported Total Nurse Staffing Hours per Resident per Day
3.86136
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12955
Expected CNA Staffing Hours per Resident per Day
2.36705
Expected LPN Staffing Hours per Resident per Day
0.65322
Expected RN Staffing Hours per Resident per Day
1.08905
Expected Total Nurse Staffing Hours per Resident per Day
4.10932
Adjusted CNA Staffing Hours per Resident per Day
2.49846
Adjusted LPN Staffing Hours per Resident per Day
0.64975
Adjusted RN Staffing Hours per Resident per Day
0.64478
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78767
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-09
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-01-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
36.66700
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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