Courtyard Care Center - Signal Hill Nursing Home
General Information
UPDATEFederal Provider Number
555785
Provider Name
COURTYARD CARE CENTER
Provider Address
1880 DAWSON AVENUE
SIGNAL HILL, CA 90806
SIGNAL HILL, CA 90806
Provider Phone Number
(562) 494-5188
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-06-05
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
2.81132
Reported LPN Staffing Hours per Resident per Day
1.05000
Reported RN Staffing Hours per Resident per Day
0.89057
Reported Licensed Staffing Hours per Resident per Day
1.94057
Reported Total Nurse Staffing Hours per Resident per Day
4.75189
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35283
Expected CNA Staffing Hours per Resident per Day
2.73761
Expected LPN Staffing Hours per Resident per Day
0.72284
Expected RN Staffing Hours per Resident per Day
1.14144
Expected Total Nurse Staffing Hours per Resident per Day
4.60189
Adjusted CNA Staffing Hours per Resident per Day
2.51977
Adjusted LPN Staffing Hours per Resident per Day
1.20566
Adjusted RN Staffing Hours per Resident per Day
0.58298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16229
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-12-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-01
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
1
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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