Clear View Sanitarium - Gardena Nursing Home
General Information
UPDATEFederal Provider Number
555881
Provider Name
CLEAR VIEW SANITARIUM
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
73
Number of Residents in Certified Beds
73
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
2012-11-28
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.86096
Reported LPN Staffing Hours per Resident per Day
0.66164
Reported RN Staffing Hours per Resident per Day
0.30753
Reported Licensed Staffing Hours per Resident per Day
0.96918
Reported Total Nurse Staffing Hours per Resident per Day
3.83013
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02671
Expected CNA Staffing Hours per Resident per Day
1.86834
Expected LPN Staffing Hours per Resident per Day
0.55833
Expected RN Staffing Hours per Resident per Day
0.74644
Expected Total Nurse Staffing Hours per Resident per Day
3.17311
Adjusted CNA Staffing Hours per Resident per Day
3.75732
Adjusted LPN Staffing Hours per Resident per Day
0.98358
Adjusted RN Staffing Hours per Resident per Day
0.30784
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86554
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
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
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-10-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
33.60000
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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