Hawthorne Healthcare & Wellness Centre, Lp - Hawthorne Nursing Home
General Information
UPDATEFederal Provider Number
555677
Provider Name
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP
Provider Address
11630 SOUTH GREVILLEA AVE.
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
Provider Phone Number
(310) 679-9732
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
88
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP
Date First Approved to Provide Medicare and Medicaid services
1996-09-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.31325
Reported LPN Staffing Hours per Resident per Day
0.67470
Reported RN Staffing Hours per Resident per Day
0.35301
Reported Licensed Staffing Hours per Resident per Day
1.02771
Reported Total Nurse Staffing Hours per Resident per Day
3.34096
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16506
Expected CNA Staffing Hours per Resident per Day
2.49123
Expected LPN Staffing Hours per Resident per Day
0.62392
Expected RN Staffing Hours per Resident per Day
1.14696
Expected Total Nurse Staffing Hours per Resident per Day
4.26210
Adjusted CNA Staffing Hours per Resident per Day
2.27840
Adjusted LPN Staffing Hours per Resident per Day
0.89756
Adjusted RN Staffing Hours per Resident per Day
0.22997
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15973
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2013-08-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2012-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
102.66700
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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