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Detailed information-COMMUNITY CARE CENTER

This is the detailed information about COMMUNITY CARE CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 05A109
Provider Name: COMMUNITY CARE CENTER
Provider State: CA
Provider Zip Code: 91010
Overall Rating: 5
Number of Substantiated Complaints: 2
Provider Phone Number: 6263573207
Provider City: DUARTE
Provider SSA County Code: 200
Provider County Name: Los Angeles
Provider Address: 2335 S. MOUNTAIN AVE
Number of Certified Beds: 167
Number of Residents in Certified Beds: 147.0
Provider Type: Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1974-03-31
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
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: 3
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 1.94521
Reported LPN Staffing Hours per Resident per Day: 0.55592
Reported RN Staffing Hours per Resident per Day: 0.24235
Reported Licensed Staffing Hours per Resident per Day: 0.79827
Reported Total Nurse Staffing Hours per Resident per Day: 2.74348
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.00000
Expected CNA Staffing Hours per Resident per Day: 1.43074
Expected LPN Staffing Hours per Resident per Day: 0.52640
Expected RN Staffing Hours per Resident per Day: 0.22687
Expected Total Nurse Staffing Hours per Resident per Day: 2.18400

Adjusted CNA Staffing Hours per Resident per Day: 2.84050
Adjusted LPN Staffing Hours per Resident per Day: 0.80142
Adjusted RN Staffing Hours per Resident per Day: 0.40638
Adjusted Total Nurse Staffing Hours per Resident per Day: 4.05557
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 07/18/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 8
Rating Cycle 1 Standard Survey Health Date: 2017-07-18
Rating Cycle 1 Total Number of Health Deficiencies: 17
Rating Cycle 1 Number of Standard Health Deficiencies: 8
Rating Cycle 1 Number of Complaint Health Deficiencies: 9
Rating Cycle 1 Health Deficiency Score: 92
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 92

Rating Cycle 2 Standard Health Survey Date: 2016-05-13
Rating Cycle 2 Total Number of Health Deficiencies: 5
Rating Cycle 2 Number of Standard Health Deficiencies: 5
Rating Cycle 2 Number of Complaint Health Deficiencies: 3
Rating Cycle 2 Health Deficiency Score: 28
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 28
Total Weighted Health Survey Score: 66.400
Number of Facility Reported Incidents: 71
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01