Greenfield Care Center Of South Gate - South Gate Nursing Home
General Information
UPDATEFederal Provider Number
56458
Provider Name
GREENFIELD CARE CENTER OF SOUTH GATE
Provider Address
8455 STATE STREET
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
Provider Phone Number
(323) 564-7761
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
99
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENFIELD CARE CENTER OF SOUTH GATE
Date First Approved to Provide Medicare and Medicaid services
1978-02-01
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.04938
Reported LPN Staffing Hours per Resident per Day
0.59444
Reported RN Staffing Hours per Resident per Day
0.57037
Reported Licensed Staffing Hours per Resident per Day
1.16481
Reported Total Nurse Staffing Hours per Resident per Day
3.21419
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07037
Expected CNA Staffing Hours per Resident per Day
2.49796
Expected LPN Staffing Hours per Resident per Day
0.67318
Expected RN Staffing Hours per Resident per Day
1.09918
Expected Total Nurse Staffing Hours per Resident per Day
4.27032
Adjusted CNA Staffing Hours per Resident per Day
2.01307
Adjusted LPN Staffing Hours per Resident per Day
0.73292
Adjusted RN Staffing Hours per Resident per Day
0.38772
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03398
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-11-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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