Casitas Care Center - Granada Hills Nursing Home
General Information
UPDATEFederal Provider Number
56148
Provider Name
CASITAS CARE CENTER
Provider Address
10626 BALBOA BLVD.
GRANADA HILLS, CA 91344
GRANADA HILLS, CA 91344
Provider Phone Number
(818) 368-2802
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Partnership
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
KF CASITAS LLC
Date First Approved to Provide Medicare and Medicaid services
1979-10-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74000
Reported LPN Staffing Hours per Resident per Day
0.72222
Reported RN Staffing Hours per Resident per Day
0.83556
Reported Licensed Staffing Hours per Resident per Day
1.55778
Reported Total Nurse Staffing Hours per Resident per Day
4.29778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21667
Expected CNA Staffing Hours per Resident per Day
2.44577
Expected LPN Staffing Hours per Resident per Day
0.66306
Expected RN Staffing Hours per Resident per Day
1.04916
Expected Total Nurse Staffing Hours per Resident per Day
4.15799
Adjusted CNA Staffing Hours per Resident per Day
2.74889
Adjusted LPN Staffing Hours per Resident per Day
0.90405
Adjusted RN Staffing Hours per Resident per Day
0.59508
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16642
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
92
Cycle 1 Standard Survey Health Date
2014-12-14
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-18
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
69.33300
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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