Huntington Park Nursing Center - Huntington Park Nursing Home
General Information
UPDATEFederal Provider Number
56144
Provider Name
HUNTINGTON PARK NURSING CENTER
Provider Address
6425 MILES AVENUE
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
Provider Phone Number
2135895941
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE CALIFORNIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-01-19
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.23371
Reported LPN Staffing Hours per Resident per Day
0.78427
Reported RN Staffing Hours per Resident per Day
0.63708
Reported Licensed Staffing Hours per Resident per Day
1.42135
Reported Total Nurse Staffing Hours per Resident per Day
3.65506
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19438
Expected CNA Staffing Hours per Resident per Day
2.63522
Expected LPN Staffing Hours per Resident per Day
0.78860
Expected RN Staffing Hours per Resident per Day
1.17610
Expected Total Nurse Staffing Hours per Resident per Day
4.59992
Adjusted CNA Staffing Hours per Resident per Day
2.07985
Adjusted LPN Staffing Hours per Resident per Day
0.82544
Adjusted RN Staffing Hours per Resident per Day
0.40475
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20292
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-24
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
48.00000
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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