Sylmar Hlth Rehab Ctr - Sylmar Nursing Home
General Information
UPDATEFederal Provider Number
05A397
Provider Name
SYLMAR HLTH REHAB CTR
Provider Address
12220 FOOTHILL BLVD.
SYLMAR, CA 91342
SYLMAR, CA 91342
Provider Phone Number
8188345082
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
208
Number of Residents in Certified Beds
202
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-01-04
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.47673
Reported LPN Staffing Hours per Resident per Day
0.76634
Reported RN Staffing Hours per Resident per Day
0.29010
Reported Licensed Staffing Hours per Resident per Day
1.05644
Reported Total Nurse Staffing Hours per Resident per Day
3.53317
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.28623
Expected LPN Staffing Hours per Resident per Day
0.44330
Expected RN Staffing Hours per Resident per Day
0.59845
Expected Total Nurse Staffing Hours per Resident per Day
2.32797
Adjusted CNA Staffing Hours per Resident per Day
4.72479
Adjusted LPN Staffing Hours per Resident per Day
1.43484
Adjusted RN Staffing Hours per Resident per Day
0.36221
Adjusted Total Nurse Staffing Hours per Resident per Day
6.11771
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-03-19
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
108.00000
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
San Fernando Post Acute Hospital
12260 Foothill Blvd |
SYLMAR CA 91342 | 0.1 mile away
Country Manor Healthcare
11723 Fenton Avenue |
LAKE VIEW TERRACE CA 91342 | 0.5 mile away
Maclay Healthcare Center
12831 Maclay Street |
SYLMAR CA 91342 | 1.7 miles away
The Grove Post-acute Care Center
14122 Hubbard Street |
SYLMAR CA 91342 | 2.4 miles away
Mountain View Conv Hosp
13333 Fenton Avenue |
SYLMAR CA 91342 | 2.6 miles away
Pacifica Hospital Of The Valley Dp Snf
9449 San Fernando Road |
SUN VALLEY CA 91352 | 2.9 miles away
Astoria Nursing And Rehab Cent
14040 Astoria Street |
SYLMAR CA 91342 | 2.9 miles away
Providence Holy Cross Med Ctr D/p Snf
11600a Indian Hills Road, Mission Hills, Ca 91345 |
MISSION HILLS CA 91345 | 3.2 miles away
Ararat Nursing Facility
15099 Mission Hills Road |
MISSION HILLS CA 91345 | 3.3 miles away
Panorama Gardens
9541 Van Nuys Blvd. |
PANORAMA CITY CA 91402 | 3.8 miles away
Shadow Hills Conv. Hospital
10158 Sunland Blvd |
SUNLAND CA 91040 | 3.9 miles away
Totally Kids Speciality Healthcare - Sun Valley
10716 La Tuna Canyon Road |
SUN VALLEY CA 91352 | 3.9 miles away
Villa Scalabrini Special Care
10631 Vinedale Street |
SUN VALLEY CA 91352 | 4.2 miles away
Country Villa Sheraton
9655 Sepulveda Boulevard |
NORTH HILLS CA 91343 | 4.5 miles away
Granada Hills Convalescent
16123 Chatsworth Ave |
GRANADA HILLS CA 91344 | 4.8 miles away
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