Brookdale Northridge - Northridge Nursing Home
General Information
UPDATEFederal Provider Number
555791
Provider Name
BROOKDALE NORTHRIDGE
Provider Address
17650 DEVONSHIRE STREET
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
Provider Phone Number
(818) 886-1616
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
41
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
EMERICARE INC
Date First Approved to Provide Medicare and Medicaid services
2002-06-15
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.63780
Reported LPN Staffing Hours per Resident per Day
0.63049
Reported RN Staffing Hours per Resident per Day
1.02439
Reported Licensed Staffing Hours per Resident per Day
1.65488
Reported Total Nurse Staffing Hours per Resident per Day
4.29268
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36220
Expected CNA Staffing Hours per Resident per Day
2.67512
Expected LPN Staffing Hours per Resident per Day
0.80574
Expected RN Staffing Hours per Resident per Day
1.42880
Expected Total Nurse Staffing Hours per Resident per Day
4.90967
Adjusted CNA Staffing Hours per Resident per Day
2.41947
Adjusted LPN Staffing Hours per Resident per Day
0.64948
Adjusted RN Staffing Hours per Resident per Day
0.53571
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52435
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-11-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-08-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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