Autumn Hills Health Care Center - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
55288
Provider Name
AUTUMN HILLS HEALTH CARE CENTER
Provider Address
430 N.GLENDALE AVE
GLENDALE, CA 91206
GLENDALE, CA 91206
Provider Phone Number
(818) 246-5677
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN HILLS OPERATING COMPANY LP
Date First Approved to Provide Medicare and Medicaid services
1978-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.91444
Reported LPN Staffing Hours per Resident per Day
0.88889
Reported RN Staffing Hours per Resident per Day
0.69167
Reported Licensed Staffing Hours per Resident per Day
1.58056
Reported Total Nurse Staffing Hours per Resident per Day
4.49500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23222
Expected CNA Staffing Hours per Resident per Day
2.55759
Expected LPN Staffing Hours per Resident per Day
0.63111
Expected RN Staffing Hours per Resident per Day
1.09139
Expected Total Nurse Staffing Hours per Resident per Day
4.28009
Adjusted CNA Staffing Hours per Resident per Day
2.79605
Adjusted LPN Staffing Hours per Resident per Day
1.16902
Adjusted RN Staffing Hours per Resident per Day
0.47354
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23330
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
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
80
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2011-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
84.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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