Culver West Health Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55350
Provider Name
CULVER WEST HEALTH CENTER
Provider Address
4035 GRANDVIEW BLVD.
LOS ANGELES, CA 90066
LOS ANGELES, CA 90066
Provider Phone Number
(310) 390-9506
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
91
Number of Residents in Certified Beds
90
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
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.14778
Reported LPN Staffing Hours per Resident per Day
0.91389
Reported RN Staffing Hours per Resident per Day
0.60056
Reported Licensed Staffing Hours per Resident per Day
1.51444
Reported Total Nurse Staffing Hours per Resident per Day
2.66223
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.43167
Expected LPN Staffing Hours per Resident per Day
0.62997
Expected RN Staffing Hours per Resident per Day
1.05983
Expected Total Nurse Staffing Hours per Resident per Day
4.12146
Adjusted CNA Staffing Hours per Resident per Day
1.15818
Adjusted LPN Staffing Hours per Resident per Day
1.20408
Adjusted RN Staffing Hours per Resident per Day
0.42341
Adjusted Total Nurse Staffing Hours per Resident per Day
2.60373
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-10-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
196
Cycle 3 Standard Health Survey Date
2012-07-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
98
Cycle 3 Total Health Score
294
Total Weighted Health Survey Score
100.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
12500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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