Live Oak Rehab Center
537 W Live Oak, San Gabriel, CA 91776


Live Oak Rehab Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056127. The address is 537 W Live Oak, San Gabriel, CA 91776. The zip code is 91776. The phone number is 6262893763.


Live Oak Rehab Center · 537 W Live Oak, San Gabriel, CA 91776

Federal Provider Number 056127
Provider Name LIVE OAK REHAB CENTER
Address 537 W LIVE OAK
SAN GABRIEL, CA 91776
Phone Number 6262893763
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 99
Certified Beds Residents 95
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SGV HEALTHCARE INC
Date First Approved to Provide Medicare Medicaid Services 06/01/1974
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 3
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.17211
Reported LPN Staffing Hours per Resident per Day 0.87158
Reported RN Staffing Hours per Resident per Day 0.41316
Reported Licensed Staffing Hours per Resident per Day 1.28474
Reported Total Nurse Staffing Hours per Resident per Day 3.45685
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15053
Expected CNA Staffing Hours per Resident per Day 2.49116
Expected LPN Staffing Hours per Resident per Day 0.57999
Expected RN Staffing Hours per Resident per Day 0.95198
Expected Total Nurse Staffing Hours per Resident per Day 4.02312
Adjusted CNA Staffing Hours per Resident per Day 2.13945
Adjusted LPN Staffing Hours per Resident per Day 1.24729
Adjusted RN Staffing Hours per Resident per Day 0.32429
Adjusted Total Nurse Staffing Hours per Resident per Day 3.46353
Cycle 1 Total Number of Health Deficiencies 18
Cycle 1 Number of Standard Health Deficiencies 15
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 112
Cycle 1 Standard Survey Health Date 04/08/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 112
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 8
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 05/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 03/16/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 86
Number of Substantiated Complaints 9
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Live Oak Rehab Center

Owner Name Role Association Date
BARTOLOME, NENITA (Individual) MANAGING EMPLOYEE since 04/01/2013
FRIEDMAN, AARON (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 04/16/1998
FRIEDMAN, AARON (Individual) DIRECTOR since 04/16/1998
FRIEDMAN, AARON (Individual) OFFICER since 04/16/1998
FRIEDMAN, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 04/16/1998
FRIEDMAN, DAVID (Individual) DIRECTOR since 04/16/1998
FRIEDMAN, DAVID (Individual) OFFICER since 04/16/1998
FRIEDMAN-NOTIS, TZIPPY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 04/16/1998
KLAVAN, RUCHEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 04/16/1998
LEHMANN, LIBBY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 04/16/1998

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