Keiro Nursing Home Ii - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555438
Provider Name
KEIRO NURSING HOME II
Provider Address
2221 LINCOLN PARK AVE
LOS ANGELES, CA 90031
LOS ANGELES, CA 90031
Provider Phone Number
3232765700
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
300
Number of Residents in Certified Beds
263
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
1990-09-25
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
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
2.84962
Reported LPN Staffing Hours per Resident per Day
0.59544
Reported RN Staffing Hours per Resident per Day
0.48612
Reported Licensed Staffing Hours per Resident per Day
1.08156
Reported Total Nurse Staffing Hours per Resident per Day
3.93118
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03802
Expected CNA Staffing Hours per Resident per Day
2.50584
Expected LPN Staffing Hours per Resident per Day
0.56114
Expected RN Staffing Hours per Resident per Day
0.81487
Expected Total Nurse Staffing Hours per Resident per Day
3.88186
Adjusted CNA Staffing Hours per Resident per Day
2.79032
Adjusted LPN Staffing Hours per Resident per Day
0.88073
Adjusted RN Staffing Hours per Resident per Day
0.44575
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08211
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-11-07
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
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-08-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
4
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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