Dept Of State Hospitals - Metropolitan Snf - Norwalk Nursing Home
General Information
UPDATEFederal Provider Number
555731
Provider Name
DEPT OF STATE HOSPITALS - METROPOLITAN SNF
Provider Address
11401 SOUTH BLOOMFIELD AVENUE
NORWALK, CA 90650
NORWALK, CA 90650
Provider Phone Number
5628637011
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Government - State
Number of Certified Beds
102
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1998-08-13
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.93689
Reported LPN Staffing Hours per Resident per Day
0.84344
Reported RN Staffing Hours per Resident per Day
2.15410
Reported Licensed Staffing Hours per Resident per Day
2.99754
Reported Total Nurse Staffing Hours per Resident per Day
3.93443
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18770
Expected CNA Staffing Hours per Resident per Day
2.06359
Expected LPN Staffing Hours per Resident per Day
0.64475
Expected RN Staffing Hours per Resident per Day
0.91855
Expected Total Nurse Staffing Hours per Resident per Day
3.62689
Adjusted CNA Staffing Hours per Resident per Day
1.11401
Adjusted LPN Staffing Hours per Resident per Day
1.08577
Adjusted RN Staffing Hours per Resident per Day
1.75226
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37269
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-27
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
20
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2014-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
270
Cycle 3 Standard Health Survey Date
2013-09-27
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
135
Cycle 3 Total Health Score
405
Total Weighted Health Survey Score
128.83300
Number of Facility Reported Incidents
20
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Norwalk Skilled Nursing & Wellness Centre, Llc
11510 Imperial Highway |
NORWALK CA 90650 | 1.3 miles away
North Walk Villa Conval. Hosp.
12350 Rosecrans |
NORWALK CA 90650 | 1.8 miles away
Southland
11701 Studebaker Road |
NORWALK CA 90650 | 1.8 miles away
Intercommunity Healthcare & Rehabilitation Center
12627 Studebaker Road |
NORWALK CA 90650 | 2 miles away
Villa Elena Healthcare Center
13226 Studebaker Rd |
NORWALK CA 90650 | 2.1 miles away
Norwalk Meadows Nursing Center
10625 Leffingwell Road |
NORWALK CA 90650 | 2.7 miles away
Brookfield Healthcare Center
9300 Telegraph Road |
DOWNEY CA 90240 | 2.9 miles away
Socal Post-acute Care
7931 S. Sorenson Ave. |
WHITTIER CA 90606 | 3 miles away
The Orchard - Post Acute Care
12385 E. Washington Blvd |
WHITTIER CA 90606 | 3 miles away
Presbyterian Intercomm Hosp Dp/snf
12401 Washington Blvd. |
WHITTIER CA 90602 | 3.1 miles away
Imperial Healthcare Center
11926 La Mirada Blvd |
LA MIRADA CA 90638 | 3.3 miles away
Mirada Hills Rehabilitation And Conv Hospital
12200 La Mirada Blvd. |
LA MIRADA CA 90638 | 3.4 miles away
Shea Rehabilitation Healthcare
7716 S Pickering Avenue |
WHITTIER CA 90602 | 3.4 miles away
Doctors Convalescent Hospital
7926 S Painter Ave |
WHITTIER CA 90602 | 3.5 miles away
Lakewood Healthcare Center
12023 Lakewood Blvd. |
DOWNEY CA 90242 | 3.6 miles away
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