Casa Bonita Convalescent Hospital
535 E Bonita Avenue, San Dimas, CA 91773


Casa Bonita Convalescent Hospital is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056291. The address is 535 E Bonita Avenue, San Dimas, CA 91773. The zip code is 91773. The phone number is 9095991248.


Casa Bonita Convalescent Hospital · 535 E Bonita Avenue, San Dimas, CA 91773

Federal Provider Number 056291
Provider Name CASA BONITA CONVALESCENT HOSPITAL
Address 535 E BONITA AVENUE
SAN DIMAS, CA 91773
Phone Number 9095991248
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 106
Certified Beds Residents 105
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CASA BONITA CONVALESCENT HOSPITAL INC
Date First Approved to Provide Medicare Medicaid Services 04/01/1972
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 Both
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 1.93762
Reported LPN Staffing Hours per Resident per Day 1.46571
Reported RN Staffing Hours per Resident per Day 0.61476
Reported Licensed Staffing Hours per Resident per Day 2.08048
Reported Total Nurse Staffing Hours per Resident per Day 4.01809
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00429
Expected CNA Staffing Hours per Resident per Day 2.48986
Expected LPN Staffing Hours per Resident per Day 0.86258
Expected RN Staffing Hours per Resident per Day 1.34878
Expected Total Nurse Staffing Hours per Resident per Day 4.70123
Adjusted CNA Staffing Hours per Resident per Day 1.90948
Adjusted LPN Staffing Hours per Resident per Day 1.41034
Adjusted RN Staffing Hours per Resident per Day 0.34057
Adjusted Total Nurse Staffing Hours per Resident per Day 3.44517
Cycle 1 Total Number of Health Deficiencies 16
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 96
Cycle 1 Standard Survey Health Date 09/27/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 96
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 07/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 14
Cycle 3 Number of Standard Health Deficiencies 13
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 03/27/2014
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 36
Cycle 3 Total Health Score 108
Total Weighted Health Survey Score 79.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 3
Number of Fines 1
Total Amount of Fines in Dollars $17982.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Casa Bonita Convalescent Hospital

Owner Name Role Association Date
ESCONTRIAS, RICHARD (Individual) MANAGING EMPLOYEE since 02/12/2015
FRIEDMAN LIVING TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
since 01/01/2001
FRIEDMAN, AARON (Individual) DIRECTOR since 01/01/2001
FRIEDMAN, AARON (Individual) OFFICER since 01/01/2001
FRIEDMAN, DAVID (Individual) DIRECTOR since 01/01/2001
FRIEDMAN, DAVID (Individual) OFFICER since 01/01/2001
JRB INVESTMENTS INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/01/2001

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