Lakewood Manor North - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56078
Provider Name
LAKEWOOD MANOR NORTH
Provider Address
831 S LAKE STREET
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
Provider Phone Number
2133809175
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
87
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
1969-06-04
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
3.08793
Reported LPN Staffing Hours per Resident per Day
0.82586
Reported RN Staffing Hours per Resident per Day
0.18793
Reported Licensed Staffing Hours per Resident per Day
1.01379
Reported Total Nurse Staffing Hours per Resident per Day
4.10172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02471
Expected CNA Staffing Hours per Resident per Day
1.99708
Expected LPN Staffing Hours per Resident per Day
0.52760
Expected RN Staffing Hours per Resident per Day
0.69100
Expected Total Nurse Staffing Hours per Resident per Day
3.21568
Adjusted CNA Staffing Hours per Resident per Day
3.79396
Adjusted LPN Staffing Hours per Resident per Day
1.29920
Adjusted RN Staffing Hours per Resident per Day
0.20322
Adjusted Total Nurse Staffing Hours per Resident per Day
5.14156
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2013-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2012-07-14
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2011-11-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
60
Cycle 3 Total Health Score
180
Total Weighted Health Survey Score
103.33300
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
California Convalescent Ctr 1
909 S Lake Street |
LOS ANGELES CA 90006 | 0.1 mile away
Grand Park Convalescent Hospit
2312 West 8th Street |
LOS ANGELES CA 90057 | 0.1 mile away
Burlington Conv Hosp
845 S.burlington Avenue |
LOS ANGELES CA 90057 | 0.3 mile away
Olympia Convalescent Hospital
1100 S. Alvarado St |
LOS ANGELES CA 90006 | 0.3 mile away
Mid-wilshire Health Care Cntr
676 S. Bonnie Brae Street |
LOS ANGELES CA 90057 | 0.4 mile away
Emerald Terrace Conv Hospital
1154 S.alvarado St |
LOS ANGELES CA 90006 | 0.4 mile away
Alden Terrace Conv Hosp
1240 S Hoover St |
LOS ANGELES CA 90006 | 0.6 mile away
Country Villa Rehabilitation Center
340 South Alvarado Street |
LOS ANGELES CA 90057 | 0.6 mile away
Bonnie Brae Convalescent Hosp
420 South Bonnie Brae St. |
LOS ANGELES CA 90057 | 0.6 mile away
Westlake Convalescent Hospital
316 S Westlake Avenue |
LOS ANGELES CA 90057 | 0.7 mile away
Angels Nursing Health Center
415 S Union Avenue |
LOS ANGELES CA 90017 | 0.7 mile away
Saint Vincent Med Ctr Dp Snf
2131 West 3rd Street |
LOS ANGELES CA 90057 | 0.7 mile away
Temple Park Convalescent Hosp
2411 W. Temple Street |
LOS ANGELES CA 90026 | 1.3 miles away
Calif Hosp Med Ctr L.a. Dp Snf
1401 South Grand Ave |
LOS ANGELES CA 90015 | 1.4 miles away
Sunnyview Care Center
2000 W Washington Bl |
LOS ANGELES CA 90018 | 1.7 miles away
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