Crenshaw Nursing Home - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55525
Provider Name
CRENSHAW NURSING HOME
Provider Address
1900 S LONGWOOD AVE
LOS ANGELES, CA 90016
LOS ANGELES, CA 90016
Provider Phone Number
3239331560
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.62800
Reported LPN Staffing Hours per Resident per Day
1.03700
Reported RN Staffing Hours per Resident per Day
0.27300
Reported Licensed Staffing Hours per Resident per Day
1.31000
Reported Total Nurse Staffing Hours per Resident per Day
3.93800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02300
Expected CNA Staffing Hours per Resident per Day
2.18753
Expected LPN Staffing Hours per Resident per Day
0.61336
Expected RN Staffing Hours per Resident per Day
0.94123
Expected Total Nurse Staffing Hours per Resident per Day
3.74213
Adjusted CNA Staffing Hours per Resident per Day
2.94777
Adjusted LPN Staffing Hours per Resident per Day
1.40326
Adjusted RN Staffing Hours per Resident per Day
0.21672
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24189
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-03-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
13850
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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