Four Seasons Healthcare & Wellness Center, Lp - North Hollywood Nursing Home

General Information

UPDATE
Federal Provider Number
55932
Provider Name
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP
Provider Address
5335 LAUREL CANYON BLVD.
NORTH HOLLYWOOD, CA 91607
Provider Phone Number
(818) 985-1814
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
201
Number of Residents in Certified Beds
186
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP
Date First Approved to Provide Medicare and Medicaid services
1968-05-22
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.50376
Reported LPN Staffing Hours per Resident per Day
0.86667
Reported RN Staffing Hours per Resident per Day
0.48253
Reported Licensed Staffing Hours per Resident per Day
1.34919
Reported Total Nurse Staffing Hours per Resident per Day
3.85296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08333
Expected CNA Staffing Hours per Resident per Day
2.45549
Expected LPN Staffing Hours per Resident per Day
0.63887
Expected RN Staffing Hours per Resident per Day
1.12909
Expected Total Nurse Staffing Hours per Resident per Day
4.22345
Adjusted CNA Staffing Hours per Resident per Day
2.50193
Adjusted LPN Staffing Hours per Resident per Day
1.12595
Adjusted RN Staffing Hours per Resident per Day
0.31932
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67730
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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