Guardian Rehabilitation Hosp - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56008
Provider Name
GUARDIAN REHABILITATION HOSP
Provider Address
533 S. FAIRFAX AVE
LOS ANGELES, CA 90036
LOS ANGELES, CA 90036
Provider Phone Number
(323) 931-1061
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
533 SOUTH FAIRFAX AVENUE INC
Date First Approved to Provide Medicare and Medicaid services
1968-12-17
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.74873
Reported LPN Staffing Hours per Resident per Day
0.76203
Reported RN Staffing Hours per Resident per Day
0.77342
Reported Licensed Staffing Hours per Resident per Day
1.53544
Reported Total Nurse Staffing Hours per Resident per Day
4.28418
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07215
Expected CNA Staffing Hours per Resident per Day
2.45666
Expected LPN Staffing Hours per Resident per Day
0.70028
Expected RN Staffing Hours per Resident per Day
1.19508
Expected Total Nurse Staffing Hours per Resident per Day
4.35202
Adjusted CNA Staffing Hours per Resident per Day
2.74542
Adjusted LPN Staffing Hours per Resident per Day
0.90319
Adjusted RN Staffing Hours per Resident per Day
0.48356
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96806
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
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
80
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
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
48
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
84
Cycle 3 Standard Health Survey Date
2011-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
70.00000
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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