Highland Park Skilled Nursing And Wellness Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555165
Provider Name
HIGHLAND PARK SKILLED NURSING AND WELLNESS CENTER
Provider Address
5125 MONTE VISTA ST.
LOS ANGELES, CA 90042
LOS ANGELES, CA 90042
Provider Phone Number
3232546125
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HIGHLAND PARK SKILLED NURSNG & WELLNESS CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-02-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.60000
Reported LPN Staffing Hours per Resident per Day
0.92212
Reported RN Staffing Hours per Resident per Day
0.66635
Reported Licensed Staffing Hours per Resident per Day
1.58846
Reported Total Nurse Staffing Hours per Resident per Day
4.18847
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13462
Expected CNA Staffing Hours per Resident per Day
2.41589
Expected LPN Staffing Hours per Resident per Day
0.61997
Expected RN Staffing Hours per Resident per Day
1.02174
Expected Total Nurse Staffing Hours per Resident per Day
4.05759
Adjusted CNA Staffing Hours per Resident per Day
2.64069
Adjusted LPN Staffing Hours per Resident per Day
1.23452
Adjusted RN Staffing Hours per Resident per Day
0.48730
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16092
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-02-10
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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