Avalon Villa Care Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56023
Provider Name
AVALON VILLA CARE CENTER
Provider Address
12029 AVALON BLVD
LOS ANGELES, CA 90061
LOS ANGELES, CA 90061
Provider Phone Number
(323) 756-8191
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIDGILL JOHNSON PROPERTIES, INC
Date First Approved to Provide Medicare and Medicaid services
1968-11-22
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
1.81230
Reported LPN Staffing Hours per Resident per Day
1.08279
Reported RN Staffing Hours per Resident per Day
0.29016
Reported Licensed Staffing Hours per Resident per Day
1.37295
Reported Total Nurse Staffing Hours per Resident per Day
3.18525
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09385
Expected CNA Staffing Hours per Resident per Day
2.25007
Expected LPN Staffing Hours per Resident per Day
0.61926
Expected RN Staffing Hours per Resident per Day
0.90212
Expected Total Nurse Staffing Hours per Resident per Day
3.77145
Adjusted CNA Staffing Hours per Resident per Day
1.97631
Adjusted LPN Staffing Hours per Resident per Day
1.45127
Adjusted RN Staffing Hours per Resident per Day
0.24033
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40437
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-03-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-12-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2011-09-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
2
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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