Elms Convalescent Hospital - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
555605
Provider Name
ELMS CONVALESCENT HOSPITAL
Provider Address
212 WEST CHEVY CHASE DRIVE
GLENDALE, CA 91204
GLENDALE, CA 91204
Provider Phone Number
(818) 240-6720
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
48
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
1994-05-24
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
4.04688
Reported LPN Staffing Hours per Resident per Day
1.13438
Reported RN Staffing Hours per Resident per Day
0.59271
Reported Licensed Staffing Hours per Resident per Day
1.72708
Reported Total Nurse Staffing Hours per Resident per Day
5.77397
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11042
Expected CNA Staffing Hours per Resident per Day
2.63585
Expected LPN Staffing Hours per Resident per Day
0.57341
Expected RN Staffing Hours per Resident per Day
0.86217
Expected Total Nurse Staffing Hours per Resident per Day
4.07143
Adjusted CNA Staffing Hours per Resident per Day
3.76722
Adjusted LPN Staffing Hours per Resident per Day
1.64200
Adjusted RN Staffing Hours per Resident per Day
0.51367
Adjusted Total Nurse Staffing Hours per Resident per Day
5.71649
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
32
Cycle 1 Standard Survey Health Date
2014-01-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-10-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
31.33300
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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