California Healthcare & Rehab - Van Nuys Nursing Home
General Information
UPDATEFederal Provider Number
56149
Provider Name
CALIFORNIA HEALTHCARE & REHAB
Provider Address
6700 SEPULVEDA BLVD.
VAN NUYS, CA 91411
VAN NUYS, CA 91411
Provider Phone Number
(818) 988-2501
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
201
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORMANDIE WILSHIRE RETIREMENT HOTEL INC
Date First Approved to Provide Medicare and Medicaid services
1971-12-31
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.50939
Reported LPN Staffing Hours per Resident per Day
1.44558
Reported RN Staffing Hours per Resident per Day
0.80525
Reported Licensed Staffing Hours per Resident per Day
2.25083
Reported Total Nurse Staffing Hours per Resident per Day
4.76022
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25249
Expected CNA Staffing Hours per Resident per Day
2.54047
Expected LPN Staffing Hours per Resident per Day
0.84881
Expected RN Staffing Hours per Resident per Day
1.33033
Expected Total Nurse Staffing Hours per Resident per Day
4.71961
Adjusted CNA Staffing Hours per Resident per Day
2.42368
Adjusted LPN Staffing Hours per Resident per Day
1.41355
Adjusted RN Staffing Hours per Resident per Day
0.45228
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06559
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2013-08-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2012-05-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
81.33300
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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