Burlington Conv Hosp - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56326
Provider Name
BURLINGTON CONV HOSP
Provider Address
845 S.BURLINGTON AVENUE
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
Provider Phone Number
(213) 381-5585
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
124
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURLINGTON CONVALESCENT HOSPITAL INC.
Date First Approved to Provide Medicare and Medicaid services
1974-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.63391
Reported LPN Staffing Hours per Resident per Day
0.81522
Reported RN Staffing Hours per Resident per Day
0.73174
Reported Licensed Staffing Hours per Resident per Day
1.54696
Reported Total Nurse Staffing Hours per Resident per Day
4.18087
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05435
Expected CNA Staffing Hours per Resident per Day
2.28948
Expected LPN Staffing Hours per Resident per Day
0.59198
Expected RN Staffing Hours per Resident per Day
1.02320
Expected Total Nurse Staffing Hours per Resident per Day
3.90466
Adjusted CNA Staffing Hours per Resident per Day
2.82284
Adjusted LPN Staffing Hours per Resident per Day
1.14300
Adjusted RN Staffing Hours per Resident per Day
0.53436
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31604
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2012-10-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
156
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2011-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
115.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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