Fountain View Subacute And Nursing Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55111
Provider Name
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER
Provider Address
5310 FOUNTAIN AVE
LOS ANGELES, CA 90029
LOS ANGELES, CA 90029
Provider Phone Number
(323) 461-9961
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.43548
Reported LPN Staffing Hours per Resident per Day
1.17903
Reported RN Staffing Hours per Resident per Day
1.18441
Reported Licensed Staffing Hours per Resident per Day
2.36344
Reported Total Nurse Staffing Hours per Resident per Day
4.79892
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13441
Expected CNA Staffing Hours per Resident per Day
2.52120
Expected LPN Staffing Hours per Resident per Day
0.89350
Expected RN Staffing Hours per Resident per Day
1.33489
Expected Total Nurse Staffing Hours per Resident per Day
4.74959
Adjusted CNA Staffing Hours per Resident per Day
2.37027
Adjusted LPN Staffing Hours per Resident per Day
1.09524
Adjusted RN Staffing Hours per Resident per Day
0.66297
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07277
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-03-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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