Windsor Care Center Of Cheviot Hills - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56451
Provider Name
WINDSOR CARE CENTER OF CHEVIOT HILLS
Provider Address
3533 MOTOR AVENUE
LOS ANGELES, CA 90034
LOS ANGELES, CA 90034
Provider Phone Number
3108368900
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
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR CHEVIOT HILLS, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.06354
Reported LPN Staffing Hours per Resident per Day
0.80208
Reported RN Staffing Hours per Resident per Day
0.54427
Reported Licensed Staffing Hours per Resident per Day
1.34635
Reported Total Nurse Staffing Hours per Resident per Day
3.40989
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19219
Expected CNA Staffing Hours per Resident per Day
2.46420
Expected LPN Staffing Hours per Resident per Day
0.67801
Expected RN Staffing Hours per Resident per Day
1.23166
Expected Total Nurse Staffing Hours per Resident per Day
4.37387
Adjusted CNA Staffing Hours per Resident per Day
2.05474
Adjusted LPN Staffing Hours per Resident per Day
0.98188
Adjusted RN Staffing Hours per Resident per Day
0.33019
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14251
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-03
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
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-07-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
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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