Goldstar Healthcare Center Of Inglewood - Inglewood Nursing Home
General Information
UPDATEFederal Provider Number
55608
Provider Name
GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD
Provider Address
515 CENTINELA AVE.
INGLEWOOD, CA 90302
INGLEWOOD, CA 90302
Provider Phone Number
(310) 674-4500
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
69
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-11-09
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89444
Reported LPN Staffing Hours per Resident per Day
1.20952
Reported RN Staffing Hours per Resident per Day
0.47063
Reported Licensed Staffing Hours per Resident per Day
1.68016
Reported Total Nurse Staffing Hours per Resident per Day
4.57459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28889
Expected CNA Staffing Hours per Resident per Day
2.32150
Expected LPN Staffing Hours per Resident per Day
0.66769
Expected RN Staffing Hours per Resident per Day
1.33948
Expected Total Nurse Staffing Hours per Resident per Day
4.32867
Adjusted CNA Staffing Hours per Resident per Day
3.05926
Adjusted LPN Staffing Hours per Resident per Day
1.50355
Adjusted RN Staffing Hours per Resident per Day
0.26253
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25990
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
188
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
188
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
96
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
96
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-04-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
130.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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