Clear View Conv Ctr - Gardena Nursing Home
General Information
UPDATEFederal Provider Number
555880
Provider Name
CLEAR VIEW CONV CTR
Provider Address
15823 SO. WESTERN AVE.
GARDENA, CA 90247
GARDENA, CA 90247
Provider Phone Number
(310) 538-2323
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
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLEAR VIEW SANITARIUM, INC.
Date First Approved to Provide Medicare and Medicaid services
2013-02-09
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.97423
Reported LPN Staffing Hours per Resident per Day
0.68763
Reported RN Staffing Hours per Resident per Day
0.26289
Reported Licensed Staffing Hours per Resident per Day
0.95052
Reported Total Nurse Staffing Hours per Resident per Day
3.92475
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04485
Expected CNA Staffing Hours per Resident per Day
1.85667
Expected LPN Staffing Hours per Resident per Day
0.51447
Expected RN Staffing Hours per Resident per Day
0.68846
Expected Total Nurse Staffing Hours per Resident per Day
3.05960
Adjusted CNA Staffing Hours per Resident per Day
3.93062
Adjusted LPN Staffing Hours per Resident per Day
1.10936
Adjusted RN Staffing Hours per Resident per Day
0.28532
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17070
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-10-22
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
30
Cycle 2 Total Health Score
90
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
62.40000
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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