Grancell Village - Reseda Nursing Home

General Information

UPDATE
Federal Provider Number
555137
Provider Name
GRANCELL VILLAGE
Provider Address
7150 TAMPA AVE
RESEDA, CA 91335
Provider Phone Number
(818) 774-3000
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Date First Approved to Provide Medicare and Medicaid services
1981-09-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.84899
Reported LPN Staffing Hours per Resident per Day
1.11414
Reported RN Staffing Hours per Resident per Day
0.86111
Reported Licensed Staffing Hours per Resident per Day
1.97525
Reported Total Nurse Staffing Hours per Resident per Day
5.82424
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13838
Expected CNA Staffing Hours per Resident per Day
2.47412
Expected LPN Staffing Hours per Resident per Day
0.66145
Expected RN Staffing Hours per Resident per Day
1.20157
Expected Total Nurse Staffing Hours per Resident per Day
4.33714
Adjusted CNA Staffing Hours per Resident per Day
3.81722
Adjusted LPN Staffing Hours per Resident per Day
1.39805
Adjusted RN Staffing Hours per Resident per Day
0.53549
Adjusted Total Nurse Staffing Hours per Resident per Day
5.41300
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-04-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-12-12
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
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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