Woods Health Services - La Verne Nursing Home
General Information
UPDATEFederal Provider Number
56083
Provider Name
WOODS HEALTH SERVICES
Provider Address
2600 A STREET
LA VERNE, CA 91750
LA VERNE, CA 91750
Provider Phone Number
9093924388
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRETHREN HILLCREST HOMES
Date First Approved to Provide Medicare and Medicaid services
1969-05-29
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.67845
Reported LPN Staffing Hours per Resident per Day
0.85948
Reported RN Staffing Hours per Resident per Day
0.57241
Reported Licensed Staffing Hours per Resident per Day
1.43190
Reported Total Nurse Staffing Hours per Resident per Day
4.11034
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01207
Expected CNA Staffing Hours per Resident per Day
2.64616
Expected LPN Staffing Hours per Resident per Day
0.65732
Expected RN Staffing Hours per Resident per Day
1.00348
Expected Total Nurse Staffing Hours per Resident per Day
4.30697
Adjusted CNA Staffing Hours per Resident per Day
2.48364
Adjusted LPN Staffing Hours per Resident per Day
1.08526
Adjusted RN Staffing Hours per Resident per Day
0.42622
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84688
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
60
Cycle 1 Standard Survey Health Date
2014-07-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
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
60
Cycle 2 Standard Health Survey Date
2013-04-13
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
56.00000
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
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