Hyde Park Conv. Hospital - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56435
Provider Name
HYDE PARK CONV. HOSPITAL
Provider Address
6520 WEST BLVD.
LOS ANGELES, CA 90043
LOS ANGELES, CA 90043
Provider Phone Number
3237531354
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HYDE PARK CONVALESCENT HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-05-27
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
3.02903
Reported LPN Staffing Hours per Resident per Day
0.86129
Reported RN Staffing Hours per Resident per Day
0.13790
Reported Licensed Staffing Hours per Resident per Day
0.99919
Reported Total Nurse Staffing Hours per Resident per Day
4.02822
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01935
Expected CNA Staffing Hours per Resident per Day
2.06085
Expected LPN Staffing Hours per Resident per Day
0.55248
Expected RN Staffing Hours per Resident per Day
0.75926
Expected Total Nurse Staffing Hours per Resident per Day
3.37259
Adjusted CNA Staffing Hours per Resident per Day
3.60644
Adjusted LPN Staffing Hours per Resident per Day
1.29393
Adjusted RN Staffing Hours per Resident per Day
0.13571
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81450
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-04-14
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-01-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
1
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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Marina Care Center
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