Imperial Healthcare Center - La Mirada Nursing Home
General Information
UPDATEFederal Provider Number
56115
Provider Name
IMPERIAL HEALTHCARE CENTER
Provider Address
11926 LA MIRADA BLVD
LA MIRADA, CA 90638
LA MIRADA, CA 90638
Provider Phone Number
(562) 943-7156
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LA MIRADA HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.42765
Reported LPN Staffing Hours per Resident per Day
0.92588
Reported RN Staffing Hours per Resident per Day
0.58471
Reported Licensed Staffing Hours per Resident per Day
1.51059
Reported Total Nurse Staffing Hours per Resident per Day
3.93824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06882
Expected CNA Staffing Hours per Resident per Day
2.67949
Expected LPN Staffing Hours per Resident per Day
0.62603
Expected RN Staffing Hours per Resident per Day
0.97772
Expected Total Nurse Staffing Hours per Resident per Day
4.28324
Adjusted CNA Staffing Hours per Resident per Day
2.22308
Adjusted LPN Staffing Hours per Resident per Day
1.22754
Adjusted RN Staffing Hours per Resident per Day
0.44685
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70622
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
2013-07-26
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
18
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2012-04-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2010-12-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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