Grand Valley Health Care Center - Van Nuys Nursing Home
General Information
UPDATEFederal Provider Number
56363
Provider Name
GRAND VALLEY HEALTH CARE CENTER
Provider Address
13524 SHERMAN WAY
VAN NUYS, CA 91405
VAN NUYS, CA 91405
Provider Phone Number
(818) 786-3470
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND VALLEY HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1978-11-01
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
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
2.68594
Reported LPN Staffing Hours per Resident per Day
1.15260
Reported RN Staffing Hours per Resident per Day
0.54740
Reported Licensed Staffing Hours per Resident per Day
1.70000
Reported Total Nurse Staffing Hours per Resident per Day
4.38594
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16354
Expected CNA Staffing Hours per Resident per Day
2.56223
Expected LPN Staffing Hours per Resident per Day
0.73293
Expected RN Staffing Hours per Resident per Day
1.22486
Expected Total Nurse Staffing Hours per Resident per Day
4.52002
Adjusted CNA Staffing Hours per Resident per Day
2.57217
Adjusted LPN Staffing Hours per Resident per Day
1.30525
Adjusted RN Staffing Hours per Resident per Day
0.33393
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91133
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-05-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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