Gardena Convalescent Center - Gardena Nursing Home
General Information
UPDATEFederal Provider Number
56019
Provider Name
GARDENA CONVALESCENT CENTER
Provider Address
14819 S. VERMONT
GARDENA, CA 90247
GARDENA, CA 90247
Provider Phone Number
(310) 532-9460
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
B&E CONVALESCENT CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1970-12-30
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.52692
Reported LPN Staffing Hours per Resident per Day
0.96154
Reported RN Staffing Hours per Resident per Day
0.55462
Reported Licensed Staffing Hours per Resident per Day
1.51615
Reported Total Nurse Staffing Hours per Resident per Day
4.04308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06615
Expected CNA Staffing Hours per Resident per Day
2.54598
Expected LPN Staffing Hours per Resident per Day
0.73589
Expected RN Staffing Hours per Resident per Day
1.18889
Expected Total Nurse Staffing Hours per Resident per Day
4.47076
Adjusted CNA Staffing Hours per Resident per Day
2.43533
Adjusted LPN Staffing Hours per Resident per Day
1.08450
Adjusted RN Staffing Hours per Resident per Day
0.34857
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64530
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-21
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
19
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-06-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-04-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
89.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
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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