Claremont Care Center
219 E. Foothill Blvd, Pomona, CA 91768


Claremont Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055394. The address is 219 E. Foothill Blvd, Pomona, CA 91768. The zip code is 91768. The phone number is 9095931391.


Claremont Care Center · 219 E. Foothill Blvd, Pomona, CA 91768

Federal Provider Number 055394
Provider Name CLAREMONT CARE CENTER
Address 219 E. FOOTHILL BLVD
POMONA, CA 91768
Phone Number 9095931391
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 99
Certified Beds Residents 92
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CLAREMONT FOOTHILLS HEALTH ASSOCIATES LLC
Date First Approved to Provide Medicare Medicaid Services 11/01/1980
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.38261
Reported LPN Staffing Hours per Resident per Day 1.01685
Reported RN Staffing Hours per Resident per Day 0.82446
Reported Licensed Staffing Hours per Resident per Day 1.8413
Reported Total Nurse Staffing Hours per Resident per Day 4.22392
Reported Physical Therapist Staffing Hours per Resident Per Day 0.14511
Expected CNA Staffing Hours per Resident per Day 2.65302
Expected LPN Staffing Hours per Resident per Day 0.71011
Expected RN Staffing Hours per Resident per Day 1.1764
Expected Total Nurse Staffing Hours per Resident per Day 4.53953
Adjusted CNA Staffing Hours per Resident per Day 2.20361
Adjusted LPN Staffing Hours per Resident per Day 1.18853
Adjusted RN Staffing Hours per Resident per Day 0.52366
Adjusted Total Nurse Staffing Hours per Resident per Day 3.75065
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 07/09/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 14
Cycle 2 Health Deficiency Score 80
Cycle 2 Standard Health Survey Date 05/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 80
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 13
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 01/25/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 58
Number of Facility Reported Incidents 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Claremont Care Center

Owner Name Role Association Date
BURNAM, SOON (Individual) OFFICER since 01/30/2009
CHRISTENSEN, CHRISTOPHER (Individual) DIRECTOR since 09/25/2003
ENSIGN GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 01/30/2006
GINN, ROBERT (Individual) MANAGING EMPLOYEE since 08/20/2013
GINN, ROBERT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/20/2013
HUEFNER, MATTHEW (Individual) OFFICER since 06/01/2012
SNAPPER, SUZANNE (Individual) OFFICER since 01/14/2012
STAPLEY, GREGORY (Individual) OFFICER since 10/29/1999
TOUCHSTONE CARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/30/2006
WITTEKIND, BEVERLY (Individual) OFFICER since 01/30/2006

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