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FIDELITY HEALTH CARE

Overall Rating

Address

11210 Lower Azusa Rd.

El Monte, CA 91731

Contact

6264426863

Certification Date

1978-05-04

Details

CMS Certification Number

555088

Ownership Type

For profit - Corporation

Number of Certified Beds

90

Average Number of Residents per Day

80.3

Provider Type

Medicare and Medicaid

Legal Business Name

MID-WILSHIRE HEALTH CARE CENTER

Affiliated Entity Name

JPH CONSULTING

Affiliated Entity ID

294

Ratings

Health Inspection Rating

3

Quality Measure Rating

3

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.72982

Reported LPN Staffing Hours per Resident per Day

0.88751

Reported RN Staffing Hours per Resident per Day

0.32145

Reported Total Nurse Staffing Hours per Resident per Day

3.93878

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.71770

Registered Nurse Hours per Resident per Day on the Weekend

0.25494

Reported Physical Therapist Staffing Hours per Resident Per Day

0.13744

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

93.333

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

1

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2021-06-04

Total Number of Health Deficiencies

18

Number of Standard Health Deficiencies

18

Number of Complaint Health Deficiencies

0

Health Deficiency Score

100

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

100

Rating Cycle 2

Standard Health Survey Date

2019-10-18

Total Number of Health Deficiencies

18

Number of Standard Health Deficiencies

18

Number of Complaint Health Deficiencies

0

Health Deficiency Score

80

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

80

Rating Cycle 3

Standard Health Survey Date

2018-11-01

Total Number of Health Deficiencies

15

Number of Standard Health Deficiencies

13

Number of Complaint Health Deficiencies

2

Health Deficiency Score

100

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

100

Penalties

Number of Fines

3

Total Amount of Fines in Dollars

27166.48

Number of Payment Denials

0

Total Number of Penalties

3