Kingsley Manor Care Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555086
Provider Name
KINGSLEY MANOR CARE CENTER
Provider Address
1055 N KINGSLEY DR
LOS ANGELES, CA 90029
LOS ANGELES, CA 90029
Provider Phone Number
2136611128
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRONT PORCH COMMUNITIES OPERATING GROUP LLC
Date First Approved to Provide Medicare and Medicaid services
1978-03-02
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.67333
Reported LPN Staffing Hours per Resident per Day
0.93556
Reported RN Staffing Hours per Resident per Day
0.38556
Reported Licensed Staffing Hours per Resident per Day
1.32111
Reported Total Nurse Staffing Hours per Resident per Day
3.99445
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05111
Expected CNA Staffing Hours per Resident per Day
2.72970
Expected LPN Staffing Hours per Resident per Day
0.69941
Expected RN Staffing Hours per Resident per Day
1.08421
Expected Total Nurse Staffing Hours per Resident per Day
4.51331
Adjusted CNA Staffing Hours per Resident per Day
2.40303
Adjusted LPN Staffing Hours per Resident per Day
1.11024
Adjusted RN Staffing Hours per Resident per Day
0.26572
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56750
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-17
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
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-08-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
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LOS ANGELES CA 90029 | 0.3 mile away
Serrano South Convalescent Hospital
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LOS ANGELES CA 90029 | 0.4 mile away
Serrano North Convalescent Hospital
5401 Fountain Ave. |
LOS ANGELES CA 90029 | 0.4 mile away
Brier Oak On Sunset
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LOS ANGELES CA 90027 | 0.5 mile away
Alexandria Care Center
1515 N Alexandria Ave. |
LOS ANGELES CA 90027 | 0.7 mile away
Hollywood Presbyterian Medical Center D/p Snf
4636 Fountain Avenue |
LOS ANGELES CA 90029 | 0.8 mile away
Virgil Rehabilitation & Skilled Nursing Center
975 North Virgil Avenue |
LOS ANGELES CA 90029 | 0.9 mile away
Garden Crest Rehabilitation Center
909 Lucile Ave. |
LOS ANGELES CA 90026 | 1.2 miles away
Temple Park Convalescent Hosp
2411 W. Temple Street |
LOS ANGELES CA 90026 | 2.2 miles away
Skyline Healthcare Center - La
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Country Villa Los Feliz
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The Rehabilitation Center On La Brea
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Saint Vincent Med Ctr Dp Snf
2131 West 3rd Street |
LOS ANGELES CA 90057 | 2.5 miles away
Windsor Gardens Conv Hospital
915 S. Crenshaw Blvd. |
LOS ANGELES CA 90019 | 2.6 miles away
Country Villa Rehabilitation Center
340 South Alvarado Street |
LOS ANGELES CA 90057 | 2.6 miles away
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