Goldstar Healthcare Center Of Chatsworth - Chatsworth Nursing Home
General Information
UPDATEFederal Provider Number
555574
Provider Name
GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH
Provider Address
21820 CRAGGY VIEW ST.
CHATSWORTH, CA 91311
CHATSWORTH, CA 91311
Provider Phone Number
(818) 882-8233
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH, INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-14
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
4
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
2.83560
Reported LPN Staffing Hours per Resident per Day
0.63080
Reported RN Staffing Hours per Resident per Day
0.45240
Reported Licensed Staffing Hours per Resident per Day
1.08320
Reported Total Nurse Staffing Hours per Resident per Day
3.91880
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.28718
Expected LPN Staffing Hours per Resident per Day
0.61582
Expected RN Staffing Hours per Resident per Day
0.89942
Expected Total Nurse Staffing Hours per Resident per Day
3.80241
Adjusted CNA Staffing Hours per Resident per Day
3.04205
Adjusted LPN Staffing Hours per Resident per Day
0.85020
Adjusted RN Staffing Hours per Resident per Day
0.37584
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15428
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-01-21
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
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2012-10-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
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
68
Cycle 3 Standard Health Survey Date
2011-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
70.00000
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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