East Los Angeles Doctors Hosp - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555255
Provider Name
EAST LOS ANGELES DOCTORS HOSP
Provider Address
4060 E. WHITTIER BLVD.
LOS ANGELES, CA 90023
LOS ANGELES, CA 90023
Provider Phone Number
(323) 260-4230
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
22
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ELADH LP
Date First Approved to Provide Medicare and Medicaid services
1987-01-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
4.12955
Reported LPN Staffing Hours per Resident per Day
3.28182
Reported RN Staffing Hours per Resident per Day
1.58409
Reported Licensed Staffing Hours per Resident per Day
4.86591
Reported Total Nurse Staffing Hours per Resident per Day
8.99546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.74200
Expected LPN Staffing Hours per Resident per Day
1.41713
Expected RN Staffing Hours per Resident per Day
1.78038
Expected Total Nurse Staffing Hours per Resident per Day
5.93951
Adjusted CNA Staffing Hours per Resident per Day
3.69536
Adjusted LPN Staffing Hours per Resident per Day
1.92214
Adjusted RN Staffing Hours per Resident per Day
0.66482
Adjusted Total Nurse Staffing Hours per Resident per Day
6.10485
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-04-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-01-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
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
24
Cycle 3 Standard Health Survey Date
2011-10-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
47.33300
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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