Century Villa, Inc - Inglewood Nursing Home
General Information
UPDATEFederal Provider Number
555368
Provider Name
CENTURY VILLA, INC
Provider Address
301 CENTINELA AVE
INGLEWOOD, CA 90302
INGLEWOOD, CA 90302
Provider Phone Number
(310) 672-1012
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTURY VILLA INC
Date First Approved to Provide Medicare and Medicaid services
1989-06-09
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
2.89817
Reported LPN Staffing Hours per Resident per Day
1.26463
Reported RN Staffing Hours per Resident per Day
0.86951
Reported Licensed Staffing Hours per Resident per Day
2.13415
Reported Total Nurse Staffing Hours per Resident per Day
5.03231
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11829
Expected CNA Staffing Hours per Resident per Day
2.18253
Expected LPN Staffing Hours per Resident per Day
0.57295
Expected RN Staffing Hours per Resident per Day
0.94305
Expected Total Nurse Staffing Hours per Resident per Day
3.69852
Adjusted CNA Staffing Hours per Resident per Day
3.25826
Adjusted LPN Staffing Hours per Resident per Day
1.83199
Adjusted RN Staffing Hours per Resident per Day
0.68893
Adjusted Total Nurse Staffing Hours per Resident per Day
5.48455
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
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
48
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
76
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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