Baldwin Gardens Nursing Center
10786 Live Oak Avenue, Temple City, CA 91780


Baldwin Gardens Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555055. The address is 10786 Live Oak Avenue, Temple City, CA 91780. The zip code is 91780. The phone number is 6264473553.


Baldwin Gardens Nursing Center · 10786 Live Oak Avenue, Temple City, CA 91780

Federal Provider Number 555055
Provider Name BALDWIN GARDENS NURSING CENTER
Address 10786 LIVE OAK AVENUE
TEMPLE CITY, CA 91780
Phone Number 6264473553
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 59
Certified Beds Residents 56
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BALDWIN GARDENS NURSING CENTER CORPORATION
Date First Approved to Provide Medicare Medicaid Services 02/01/1977
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 4
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.56161
Reported LPN Staffing Hours per Resident per Day 0.97946
Reported RN Staffing Hours per Resident per Day 0.07411
Reported Licensed Staffing Hours per Resident per Day 1.05357
Reported Total Nurse Staffing Hours per Resident per Day 3.61518
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08304
Expected CNA Staffing Hours per Resident per Day 2.57183
Expected LPN Staffing Hours per Resident per Day 0.70229
Expected RN Staffing Hours per Resident per Day 1.0587
Expected Total Nurse Staffing Hours per Resident per Day 4.33283
Adjusted CNA Staffing Hours per Resident per Day 2.44395
Adjusted LPN Staffing Hours per Resident per Day 1.15757
Adjusted RN Staffing Hours per Resident per Day 0.0523
Adjusted Total Nurse Staffing Hours per Resident per Day 3.36326
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 05/20/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 07/30/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 05/22/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 42
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Baldwin Gardens Nursing Center

Owner Name Role Association Date
BASTOMSKI, ISRAEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 05/01/2007
BASTOMSKI, ISRAEL (Individual) DIRECTOR since 04/01/2007
BASTOMSKI, ISRAEL (Individual) MANAGING EMPLOYEE since 04/01/2007

91780 · Nursing Home

Temple City Healthcare 5101 Tyler Avenue, Temple City, CA 91780
Santa Anita Convalescent Hosp 5522 Gracewood Ave., Temple City, CA 91780

Temple City · Nursing Home

Temple City Healthcare 5101 Tyler Avenue, Temple City, CA 91780
Santa Anita Convalescent Hosp 5522 Gracewood Ave., Temple City, CA 91780

CA · Nursing Home

College Oak Nursing & Rehabilitation Center 4635 College Oak Drive, Sacramento, CA 95841
Gateway Care & Rehabilitation Center 26660 Patrick Avenue, Hayward, CA 94544
Lakeside Special Care Center 11962 Woodside Avenue, Lakeside, CA 92040
Elmcrest Care Center 3111 Santa Anita Ave, El Monte, CA 91733
Motion Picture and T.v. Hosp D/p Snf 23388 Mulholland Dr., Woodland Hills, CA 91364
Imperial Crest Health Care Center 11834 Inglewood Avenue, Hawthorne, CA 90250
Bellaken Skilled Nursing Center 2780 26th Avenue, Oakland, CA 94601
Villa Marin 100 Thorndale Drive, San Rafael, CA 94903
Creekside Rehabilitation & Behavioral Health 850 Sonoma Ave, Santa Rosa, CA 95404
Kaiser Foundation Hospital Manteca D/p Snf 1777 West Yosemite Avenue, Manteca, CA 95337
Copper Ridge Care Center 201 Hartnell Avenue, Redding, CA 96002
Medical Center Convalescent Hospital 467 E Gilbert St, San Bernardino, CA 92404
The Covington Care Center 3 Pursuit, Aliso Viejo, CA 92656
Parkside Health and Wellness Center 444 W Lexington, El Cajon, CA 92020
Redwood Convalescent Hospital, Inc 22103 Redwood Road, Castro Valley, CA 94546
Bella Vista Transitional Care Center 3033 Augusta St, San Luis Obispo, CA 93401
Norwalk Meadows Nursing Center 10625 Leffingwell Road, Norwalk, CA 90650
Redwood Healthcare Center LLC 3145 High Street, Oakland, CA 94619
Pioneer House 415 P Street, Sacramento, CA 95814
Stonebrook Health and Rehabilitation 350 De Soto Drive, Los Gatos, CA 95030
Royal Oaks Manor-bradbury Oaks 1763 Royal Oaks Drive, Duarte, CA 91010
San Pablo Healthcare & Wellness Center 13328 San Pablo Avenue, San Pablo, CA 94806
Westview Healthcare Center 12225 Shale Ridge Lane, Auburn, CA 95602
Two Palms Nursing Center, Inc 2637 E. Washinton Blvd, Pasadena, CA 91107
Monte Vista Healthcare Center 802 Buena Vista Street, Duarte, CA 91010
Pacific Care Nursing Center 3355 Pacific Place, Long Beach, CA 90806
Grossmont Hospital D/p Snf 5555 Grossmont Center Drive, La Mesa, CA 91941
Barton Hospital D/p Snf 2170 South Avenue, South Lake Tahoe, CA 96150
San Francisco Health Care 1477 Grove Street, San Francisco, CA 94117
Totally Kids Rehabilitation Hospital - D/p Snf 1720 Mountain View, Loma Linda, CA 92354
Professional Post Acute Center 81 Professional Center Parkway, San Rafael, CA 94903
Palm Terrace Healthcare & Rehabilitation Center 24962 Calle Aragon, Laguna Hills, CA 92653
Riverwood Healthcare Center 5320 Carrington Circle, Stockton, CA 95210
Miravilla Care Center 9246 Avenida Miravilla, Cherry Valley, CA 92223
Castle Manor Convalescent Center 541 V Avenue, National City, CA 91950
Willow Creek Healthcare Center 650 W. Alluvial, Clovis, CA 93611
Brighton Place San Diego 1350 N. Euclid Avenue, San Diego, CA 92105
Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726
Highland Park Skilled Nursing and Wellness Center 5125 Monte Vista St., Los Angeles, CA 90042
Palo Alto Sub-acute and Rehabilitation Center 911 Bryant Street, Palo Alto, CA 94301