Eisenberg Village - Reseda Nursing Home
General Information
UPDATEFederal Provider Number
55013
Provider Name
EISENBERG VILLAGE
Provider Address
18855 VICTORY BL
RESEDA, CA 91335
RESEDA, CA 91335
Provider Phone Number
(818) 774-3000
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.47424
Reported LPN Staffing Hours per Resident per Day
0.98939
Reported RN Staffing Hours per Resident per Day
0.54939
Reported Licensed Staffing Hours per Resident per Day
1.53879
Reported Total Nurse Staffing Hours per Resident per Day
5.01302
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07242
Expected CNA Staffing Hours per Resident per Day
2.48762
Expected LPN Staffing Hours per Resident per Day
0.56749
Expected RN Staffing Hours per Resident per Day
0.83798
Expected Total Nurse Staffing Hours per Resident per Day
3.89309
Adjusted CNA Staffing Hours per Resident per Day
3.42686
Adjusted LPN Staffing Hours per Resident per Day
1.44707
Adjusted RN Staffing Hours per Resident per Day
0.48988
Adjusted Total Nurse Staffing Hours per Resident per Day
5.19048
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
63.33300
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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