La Habra Conv. Hosp. - La Habra Nursing Home

General Information

UPDATE
Federal Provider Number
55622
Provider Name
LA HABRA CONV. HOSP.
Provider Address
1233 WEST LA HABRA BOULEVARD
LA HABRA, CA 90631
Provider Phone Number
(562) 691-0781
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.45137
Reported LPN Staffing Hours per Resident per Day
1.07055
Reported RN Staffing Hours per Resident per Day
0.36986
Reported Licensed Staffing Hours per Resident per Day
1.44041
Reported Total Nurse Staffing Hours per Resident per Day
3.89178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11027
Expected CNA Staffing Hours per Resident per Day
2.54118
Expected LPN Staffing Hours per Resident per Day
0.64461
Expected RN Staffing Hours per Resident per Day
1.10563
Expected Total Nurse Staffing Hours per Resident per Day
4.29142
Adjusted CNA Staffing Hours per Resident per Day
2.36698
Adjusted LPN Staffing Hours per Resident per Day
1.37845
Adjusted RN Staffing Hours per Resident per Day
0.24996
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65552
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
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
100
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
2
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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