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.
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 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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