Mayflower Care Center
5043 Peck Rd, El Monte, CA 91732


Mayflower Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555374. The address is 5043 Peck Rd, El Monte, CA 91732. The zip code is 91732. The phone number is 6265791602.


Mayflower Care Center · 5043 Peck Rd, El Monte, CA 91732

Federal Provider Number 555374
Provider Name MAYFLOWER CARE CENTER
Address 5043 PECK RD
EL MONTE, CA 91732
Phone Number 6265791602
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 59
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MAYFLOWER CARE CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 06/08/1989
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 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.5661
Reported LPN Staffing Hours per Resident per Day 0.62119
Reported RN Staffing Hours per Resident per Day 0.47373
Reported Licensed Staffing Hours per Resident per Day 1.09492
Reported Total Nurse Staffing Hours per Resident per Day 3.66102
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09661
Expected CNA Staffing Hours per Resident per Day 2.23121
Expected LPN Staffing Hours per Resident per Day 0.56602
Expected RN Staffing Hours per Resident per Day 0.901
Expected Total Nurse Staffing Hours per Resident per Day 3.69823
Adjusted CNA Staffing Hours per Resident per Day 2.82198
Adjusted LPN Staffing Hours per Resident per Day 0.9109
Adjusted RN Staffing Hours per Resident per Day 0.39286
Adjusted Total Nurse Staffing Hours per Resident per Day 3.99034
Cycle 1 Total Number of Health Deficiencies 18
Cycle 1 Number of Standard Health Deficiencies 16
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 104
Cycle 1 Standard Survey Health Date 01/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 104
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 12/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 09/19/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 71.333
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mayflower Care Center

Owner Name Role Association Date
AYERS, SHANNON (Individual) MANAGING EMPLOYEE since 11/24/2015
FRIEDMAN, AARON (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 11/01/2015
FRIEDMAN, AARON (Individual) DIRECTOR since 11/01/2015
FRIEDMAN, AARON (Individual) OFFICER since 11/01/2015
FRIEDMAN, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 11/01/2015
FRIEDMAN, DAVID (Individual) DIRECTOR since 12/01/2015
FRIEDMAN, DAVID (Individual) OFFICER since 12/01/2015
FRIEDMAN-NOTIS, TZIPPY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 11/01/2015
KLAVAN, RUCHEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 11/01/2015
LEHMANN, LIBBY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 11/01/2015
LONGWOOD MANAGEMENT CORP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2015

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