Valley Palms Care Center - N Hollywood Nursing Home

General Information

UPDATE
Federal Provider Number
55287
Provider Name
VALLEY PALMS CARE CENTER
Provider Address
13400 SHERMAN WAY
N HOLLYWOOD, CA 91605
Provider Phone Number
8189830103
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
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
13400 SHERMAN WAY LLC
Date First Approved to Provide Medicare and Medicaid services
1973-01-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.58205
Reported LPN Staffing Hours per Resident per Day
1.12308
Reported RN Staffing Hours per Resident per Day
0.68462
Reported Licensed Staffing Hours per Resident per Day
1.80769
Reported Total Nurse Staffing Hours per Resident per Day
4.38975
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20769
Expected CNA Staffing Hours per Resident per Day
2.42175
Expected LPN Staffing Hours per Resident per Day
0.62602
Expected RN Staffing Hours per Resident per Day
1.03531
Expected Total Nurse Staffing Hours per Resident per Day
4.08308
Adjusted CNA Staffing Hours per Resident per Day
2.61612
Adjusted LPN Staffing Hours per Resident per Day
1.48903
Adjusted RN Staffing Hours per Resident per Day
0.49410
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33366
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
68
Cycle 1 Standard Survey Health Date
2014-05-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-02-03
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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