Alamitos West Health Care Center - Los Alamitos Nursing Home
General Information
UPDATEFederal Provider Number
56169
Provider Name
ALAMITOS WEST HEALTH CARE CENTER
Provider Address
3902 KATELLA AVENUE
LOS ALAMITOS, CA 90720
LOS ALAMITOS, CA 90720
Provider Phone Number
(562) 596-5561
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
194
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KTLA PROPERTIES LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
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
Partial
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.53626
Reported LPN Staffing Hours per Resident per Day
1.14046
Reported RN Staffing Hours per Resident per Day
0.66985
Reported Licensed Staffing Hours per Resident per Day
1.81031
Reported Total Nurse Staffing Hours per Resident per Day
4.34657
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37405
Expected CNA Staffing Hours per Resident per Day
2.57100
Expected LPN Staffing Hours per Resident per Day
0.72291
Expected RN Staffing Hours per Resident per Day
1.27041
Expected Total Nurse Staffing Hours per Resident per Day
4.56432
Adjusted CNA Staffing Hours per Resident per Day
2.42055
Adjusted LPN Staffing Hours per Resident per Day
1.30940
Adjusted RN Staffing Hours per Resident per Day
0.39398
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83860
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-10-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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