Chatsworth Park Care Center - Chatsworth Nursing Home
General Information
UPDATEFederal Provider Number
56351
Provider Name
CHATSWORTH PARK CARE CENTER
Provider Address
10610 OWENSMOUTH
CHATSWORTH, CA 91311
CHATSWORTH, CA 91311
Provider Phone Number
(818) 882-3200
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
C.P.C.H. INC.
Date First Approved to Provide Medicare and Medicaid services
1973-02-20
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
3.19200
Reported LPN Staffing Hours per Resident per Day
1.05300
Reported RN Staffing Hours per Resident per Day
0.98450
Reported Licensed Staffing Hours per Resident per Day
2.03750
Reported Total Nurse Staffing Hours per Resident per Day
5.22950
Reported Physical Therapist Staffing Hours per Resident Per Day
0.52750
Expected CNA Staffing Hours per Resident per Day
2.71189
Expected LPN Staffing Hours per Resident per Day
0.69184
Expected RN Staffing Hours per Resident per Day
1.21338
Expected Total Nurse Staffing Hours per Resident per Day
4.61710
Adjusted CNA Staffing Hours per Resident per Day
2.88810
Adjusted LPN Staffing Hours per Resident per Day
1.26329
Adjusted RN Staffing Hours per Resident per Day
0.60626
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56555
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-01-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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