Artesia Christian Home Inc. - Artesia Nursing Home
General Information
UPDATEFederal Provider Number
55539
Provider Name
ARTESIA CHRISTIAN HOME INC.
Provider Address
11614 E. 183RD ST
ARTESIA, CA 90701
ARTESIA, CA 90701
Provider Phone Number
(562) 865-5218
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARTESIA CHRISTIAN HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.92121
Reported LPN Staffing Hours per Resident per Day
0.75682
Reported RN Staffing Hours per Resident per Day
0.52121
Reported Licensed Staffing Hours per Resident per Day
1.27803
Reported Total Nurse Staffing Hours per Resident per Day
4.19924
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05379
Expected CNA Staffing Hours per Resident per Day
2.56549
Expected LPN Staffing Hours per Resident per Day
0.54891
Expected RN Staffing Hours per Resident per Day
0.80625
Expected Total Nurse Staffing Hours per Resident per Day
3.92065
Adjusted CNA Staffing Hours per Resident per Day
2.79392
Adjusted LPN Staffing Hours per Resident per Day
1.14438
Adjusted RN Staffing Hours per Resident per Day
0.48303
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31733
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-03
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
13.33300
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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