All Saints Healthcare Subacute - North Hollywood Nursing Home
General Information
UPDATEFederal Provider Number
56407
Provider Name
ALL SAINTS HEALTHCARE SUBACUTE
Provider Address
11810 SATICOY STREET
NORTH HOLLYWOOD, CA 91605
NORTH HOLLYWOOD, CA 91605
Provider Phone Number
(818) 982-4600
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DARBUN ENTERPRISES INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1985-09-18
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.92207
Reported LPN Staffing Hours per Resident per Day
3.82432
Reported RN Staffing Hours per Resident per Day
2.44820
Reported Licensed Staffing Hours per Resident per Day
6.27252
Reported Total Nurse Staffing Hours per Resident per Day
11.19459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05135
Expected CNA Staffing Hours per Resident per Day
2.76429
Expected LPN Staffing Hours per Resident per Day
1.34354
Expected RN Staffing Hours per Resident per Day
1.98408
Expected Total Nurse Staffing Hours per Resident per Day
6.09191
Adjusted CNA Staffing Hours per Resident per Day
4.36903
Adjusted LPN Staffing Hours per Resident per Day
2.36256
Adjusted RN Staffing Hours per Resident per Day
0.92199
Adjusted Total Nurse Staffing Hours per Resident per Day
7.40725
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2013-12-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2012-09-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
68
Cycle 3 Standard Health Survey Date
2011-06-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
34.00000
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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