Angels Nursing Health Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55704
Provider Name
ANGELS NURSING HEALTH CENTER
Provider Address
415 S UNION AVENUE
LOS ANGELES, CA 90017
LOS ANGELES, CA 90017
Provider Phone Number
(213) 484-0784
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUR RIVERS MANAGEMENT CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1973-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.14891
Reported LPN Staffing Hours per Resident per Day
0.65217
Reported RN Staffing Hours per Resident per Day
0.26087
Reported Licensed Staffing Hours per Resident per Day
0.91304
Reported Total Nurse Staffing Hours per Resident per Day
4.06195
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12391
Expected CNA Staffing Hours per Resident per Day
2.26829
Expected LPN Staffing Hours per Resident per Day
0.56948
Expected RN Staffing Hours per Resident per Day
1.03006
Expected Total Nurse Staffing Hours per Resident per Day
3.86783
Adjusted CNA Staffing Hours per Resident per Day
3.40630
Adjusted LPN Staffing Hours per Resident per Day
0.95052
Adjusted RN Staffing Hours per Resident per Day
0.18923
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23320
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-03-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
32
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
26.00000
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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