West Haven Healthcare - West Covina Nursing Home
General Information
UPDATEFederal Provider Number
56228
Provider Name
WEST HAVEN HEALTHCARE
Provider Address
1495 WEST CAMERON AVE.
WEST COVINA, CA 91790
WEST COVINA, CA 91790
Provider Phone Number
6269624461
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1495 CAMERON AVENUE, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-07-17
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37198
Reported LPN Staffing Hours per Resident per Day
0.62198
Reported RN Staffing Hours per Resident per Day
0.53407
Reported Licensed Staffing Hours per Resident per Day
1.15604
Reported Total Nurse Staffing Hours per Resident per Day
3.52803
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06264
Expected CNA Staffing Hours per Resident per Day
2.26184
Expected LPN Staffing Hours per Resident per Day
0.58995
Expected RN Staffing Hours per Resident per Day
0.95355
Expected Total Nurse Staffing Hours per Resident per Day
3.80535
Adjusted CNA Staffing Hours per Resident per Day
2.57318
Adjusted LPN Staffing Hours per Resident per Day
0.87506
Adjusted RN Staffing Hours per Resident per Day
0.41850
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73715
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
2014-03-26
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
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-12-13
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
60.66700
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
Nursiong Homes Nearby
Doctors Hosp Of West Covina
725 S. Orange Avenue |
WEST COVINA CA 91790 | 0.3 mile away
West Covina Healthcare Center
850 S. Sunkist Ave. |
WEST COVINA CA 91790 | 0.5 mile away
Clara Baldwin Stocker Home
527 S Valinda Avenue |
WEST COVINA CA 91790 | 0.9 mile away
Victoria Care Center
3541 Puente Avenue |
BALDWIN PARK CA 91706 | 1 mile away
Garden View Post- Acute Rehabilitation
14475 Garden View Lane |
BALDWIN PARK CA 91706 | 1.1 miles away
Beacon Healthcare Center
919 N Sunset Ave |
WEST COVINA CA 91790 | 1.4 miles away
Coast Care Convalescent Center
14518 E. Los Angeles St. |
BALDWIN PARK CA 91706 | 1.9 miles away
Sierra View Care Center
14318 Ohio Street |
BALDWIN PARK CA 91706 | 2.2 miles away
The Rowland
330 W. Rowland Ave. |
COVINA CA 91723 | 2.7 miles away
Royal Crest Health Care
519 W. Badillo St. |
COVINA CA 91722 | 2.7 miles away
Covina Rehabilitation Center
261 W. Badillo Street |
COVINA CA 91723 | 3 miles away
Citrus Valley Medical Center - Ic Campus - D/p Snf
210 W. San Bernardino Rd. |
COVINA CA 91723 | 3 miles away
El Encanto Healthcare Center
555 South El Encanto Road |
CITY OF INDUSTRY CA 91745 | 3.6 miles away
Alliance Nursing & Rehab Ctr
3825 N Durfee Ave |
EL MONTE CA 91732 | 3.9 miles away
Penn Mar Therapeutic Center
3938 Cogswell Road |
EL MONTE CA 91732 | 4.1 miles away
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