Imperial Care Center - Studio City Nursing Home
General Information
UPDATEFederal Provider Number
555707
Provider Name
IMPERIAL CARE CENTER
Provider Address
11441 VENTURA BLVD
STUDIO CITY, CA 91604
STUDIO CITY, CA 91604
Provider Phone Number
(818) 980-8200
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ICC CONVALESCENT CORP.
Date First Approved to Provide Medicare and Medicaid services
1997-05-07
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
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
2.37764
Reported LPN Staffing Hours per Resident per Day
0.64756
Reported RN Staffing Hours per Resident per Day
0.55244
Reported Licensed Staffing Hours per Resident per Day
1.20000
Reported Total Nurse Staffing Hours per Resident per Day
3.57764
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07154
Expected CNA Staffing Hours per Resident per Day
2.39261
Expected LPN Staffing Hours per Resident per Day
0.55023
Expected RN Staffing Hours per Resident per Day
0.86255
Expected Total Nurse Staffing Hours per Resident per Day
3.80539
Adjusted CNA Staffing Hours per Resident per Day
2.43834
Adjusted LPN Staffing Hours per Resident per Day
0.97682
Adjusted RN Staffing Hours per Resident per Day
0.47856
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78965
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
72
Cycle 1 Standard Survey Health Date
2014-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2011-09-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
75.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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