Villa Oaks Convalescent Hopital - Pasadena Nursing Home
General Information
UPDATEFederal Provider Number
56123
Provider Name
VILLA OAKS CONVALESCENT HOPITAL
Provider Address
1515 N.FAIR OAKS AVENUE
PASADENA, CA 91103
PASADENA, CA 91103
Provider Phone Number
(626) 798-1111
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
VOCH, INC.
Date First Approved to Provide Medicare and Medicaid services
1969-09-23
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
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
2.48864
Reported LPN Staffing Hours per Resident per Day
0.38750
Reported RN Staffing Hours per Resident per Day
0.72159
Reported Licensed Staffing Hours per Resident per Day
1.10909
Reported Total Nurse Staffing Hours per Resident per Day
3.59773
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02614
Expected CNA Staffing Hours per Resident per Day
2.00618
Expected LPN Staffing Hours per Resident per Day
0.55425
Expected RN Staffing Hours per Resident per Day
0.81413
Expected Total Nurse Staffing Hours per Resident per Day
3.37457
Adjusted CNA Staffing Hours per Resident per Day
3.04378
Adjusted LPN Staffing Hours per Resident per Day
0.58028
Adjusted RN Staffing Hours per Resident per Day
0.66227
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29747
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-03-09
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
56
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
78100
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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