Granada Hills Convalescent - Granada Hills Nursing Home
General Information
UPDATEFederal Provider Number
56168
Provider Name
GRANADA HILLS CONVALESCENT
Provider Address
16123 CHATSWORTH AVE
GRANADA HILLS, CA 91344
GRANADA HILLS, CA 91344
Provider Phone Number
(818) 891-1745
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRANADA HILLS CONVALESCENT HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1969-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.57174
Reported LPN Staffing Hours per Resident per Day
0.66739
Reported RN Staffing Hours per Resident per Day
0.27283
Reported Licensed Staffing Hours per Resident per Day
0.94022
Reported Total Nurse Staffing Hours per Resident per Day
3.51196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.48097
Expected LPN Staffing Hours per Resident per Day
0.61928
Expected RN Staffing Hours per Resident per Day
0.94232
Expected Total Nurse Staffing Hours per Resident per Day
4.04257
Adjusted CNA Staffing Hours per Resident per Day
2.54347
Adjusted LPN Staffing Hours per Resident per Day
0.89448
Adjusted RN Staffing Hours per Resident per Day
0.21634
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50182
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
64
Cycle 1 Standard Survey Health Date
2014-05-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-01-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
54.00000
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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