Claremont Manor Care Center
621 W Bonita Ave, Claremont, CA 91711


Claremont Manor Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555085. The address is 621 W Bonita Ave, Claremont, CA 91711. The zip code is 91711. The phone number is 9096263490.


Claremont Manor Care Center · 621 W Bonita Ave, Claremont, CA 91711

Federal Provider Number 555085
Provider Name CLAREMONT MANOR CARE CENTER
Address 621 W BONITA AVE
CLAREMONT, CA 91711
Phone Number 9096263490
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 59
Certified Beds Residents 48
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FRONT PORCH COMMUNITIES OPERATING GROUP LLC
Date First Approved to Provide Medicare Medicaid Services 11/23/1977
Continuing Care Retirement Community true
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 3
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.59583
Reported LPN Staffing Hours per Resident per Day 0.9625
Reported RN Staffing Hours per Resident per Day 0.64375
Reported Licensed Staffing Hours per Resident per Day 1.60625
Reported Total Nurse Staffing Hours per Resident per Day 4.20208
Expected CNA Staffing Hours per Resident per Day 2.60514
Expected LPN Staffing Hours per Resident per Day 0.63095
Expected RN Staffing Hours per Resident per Day 1.0365
Expected Total Nurse Staffing Hours per Resident per Day 4.27259
Adjusted CNA Staffing Hours per Resident per Day 2.44494
Adjusted LPN Staffing Hours per Resident per Day 1.26614
Adjusted RN Staffing Hours per Resident per Day 0.46407
Adjusted Total Nurse Staffing Hours per Resident per Day 3.96438
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 04/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 08/11/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 12
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 06/13/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 57.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Claremont Manor Care Center

Owner Name Role Association Date
FRONT PORCH COMMUNITIES AND SERVICES (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/15/2012
HIRST, GREGORY (Individual) MANAGING EMPLOYEE since 12/15/2012
HUDSON, HOWARD (Individual) DIRECTOR since 12/15/2012
JACOBSEN, ROBERTA (Individual) OFFICER since 12/15/2012
KENNISON, MARGOL JOYCE LEE (Individual) DIRECTOR since 12/15/2012
KETTERER, CURTIS (Individual) DIRECTOR since 12/15/2012
LARSON, SCOTT (Individual) DIRECTOR since 12/15/2012
MILLER, MARY (Individual) OFFICER since 12/15/2012
PERRY, JENNIFER (Individual) DIRECTOR since 12/15/2012
SUDIT, DANIEL (Individual) DIRECTOR since 12/15/2012
SUITE, DENZIL (Individual) DIRECTOR since 12/15/2012
SYVERSON, CINDRA (Individual) DIRECTOR since 12/15/2012
WEISE, ELYSE (Individual) DIRECTOR since 12/15/2012
WHEELER, GARY (Individual) OFFICER since 01/01/1991
WHITTAKER, SUSAN (Individual) DIRECTOR since 12/15/2012
WITTE, WILLIAM (Individual) DIRECTOR since 12/15/2012

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