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

The Rehabilitation Center of Oakland 210 40th Street Way, Oakland, CA 94611
Country Manor Healthcare 11723 Fenton Avenue, Lake View Terrace, CA 91342
Knolls West Post Acute LLC 16890 Green Tree Blvd, Victorville, CA 92395
Palm Terrace Healthcare & Rehabilitation Center 24962 Calle Aragon, Laguna Hills, CA 92653
Delano Postacute Care 729 Browning Road, Delano, CA 93215
Vista Manor Nursing Center 120 Jose Figueres Avenue, San Jose, CA 95116
Crystal Ridge Care Center 396 Dorsey Drive, Grass Valley, CA 95945
Laurel Creek Health Center 2800 Estates Drive, Fairfield, CA 94533
Garden Grove Convalescent Hosp 12882 Shackelford Lane, Garden Grove, CA 92841
Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991
Kaweah Manor Convalescent Hospital 3710 West Tulare Ave, Visalia, CA 93277
Maywood Skilled Nursing & Wellness Centre 6025 Pine Ave, Maywood, CA 90270
Bay Area Healthcare Center 1833 10th Avenue, Oakland, CA 94606
Arbor Glen Care Center 1033 E. Arrow Highway, Glendora, CA 91740
San Diego Post-acute Center 1201 South Orange Ave., El Cajon, CA 92020
Alamitos Belmont Rehab Hospita 3901 E Fourth Street, Long Beach, CA 90814
Extended Care Hosp Westminster 206 Hospital Circle, Westminster, CA 92683
Skyline Healthcare Center - La 3032 Rowena Ave, Los Angeles, CA 90039
Berkley Valley Conv Hospital 6600 Sepulveda Blvd., Van Nuys, CA 91411
Valley House Rehabilitation Center 991 Clyde Avenue, Santa Clara, CA 95054
La Palma Nursing Center 1130 La Palma Ave, Anaheim, CA 92801
St John Kronstadt Convalescent Center 4432 James Avenue, Castro Valley, CA 94546
Veterans Home of California - Redding 3400 Knighton Road, Redding, CA 96002
Park Anaheim Healthcare Center 3435 W Ball Road, Anaheim, CA 92804
Rosewood Post Acute Rehabilitation 6041 Fair Oaks Blvd, Carmichael, CA 95608
Jones Convalescent Hospital 524 Callan Avenue, San Leandro, CA 94577
Windsor Healthcare Center of Oakland 2919 Fruitvale Ave, Oakland, CA 94602
Friendship Manor Nursing & Rehab Center 902 South Euclid Avenue, National City, CA 91950
Newport Nursing and Rehabilitation Center 1555 Superior Avenue, Newport Beach, CA 92663
Los Gatos Meadows Geriatric Hospital 110 Wood Road, Los Gatos, CA 95030
Kindred Transitional Care and Rehab - Canyonwood 2120 Benton Drive, Redding, CA 96003
Community Care Center 2335 S. Mountain Ave, Duarte, CA 91010
Lake Balboa Care Center 16955 Vanowen Street, Van Nuys, CA 91406
Meadowood Nursing Center 3805 Dexter Lane, Clearlake, CA 95422
Dos Palos Memorial Skilled Nursing Facility 2118 Marguerite St, Dos Palos, CA 93620
Vermont Convalescent Center 22035 S. Vermont Avenue, Torrance, CA 90502
Oakland Healthcare & Wellness Center 3030 Webster Street, Oakland, CA 94609
Apple Valley Post-acute Rehab 1035 Gravenstein Hwy South, Sebastopol, CA 95472
Remington Club Health Center 16915 Hierba Drive, San Diego, CA 92128
La Paloma Healthcare Center 3232 Thunder Drive, Oceanside, CA 92056