Ararat Convalescent Hospital - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555126
Provider Name
ARARAT CONVALESCENT HOSPITAL
Provider Address
2373 COLORADO BLVD.
LOS ANGELES, CA 90041
LOS ANGELES, CA 90041
Provider Phone Number
(323) 256-8012
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARARAT HOME OF LOS ANGELES INC
Date First Approved to Provide Medicare and Medicaid services
1980-05-20
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.71429
Reported LPN Staffing Hours per Resident per Day
0.47500
Reported RN Staffing Hours per Resident per Day
0.48929
Reported Licensed Staffing Hours per Resident per Day
0.96429
Reported Total Nurse Staffing Hours per Resident per Day
3.67858
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00119
Expected CNA Staffing Hours per Resident per Day
2.34990
Expected LPN Staffing Hours per Resident per Day
0.49237
Expected RN Staffing Hours per Resident per Day
0.70211
Expected Total Nurse Staffing Hours per Resident per Day
3.54439
Adjusted CNA Staffing Hours per Resident per Day
2.83418
Adjusted LPN Staffing Hours per Resident per Day
0.80072
Adjusted RN Staffing Hours per Resident per Day
0.52071
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18351
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-03-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
56
Cycle 3 Standard Health Survey Date
2011-11-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
34.66700
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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