La Palma Nursing Center - Anaheim Nursing Home
General Information
UPDATEFederal Provider Number
555329
Provider Name
LA PALMA NURSING CENTER
Provider Address
1130 LA PALMA AVE
ANAHEIM, CA 92801
ANAHEIM, CA 92801
Provider Phone Number
(714) 772-7480
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1130 W. LA PALMA AVE, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-07-06
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.03308
Reported LPN Staffing Hours per Resident per Day
2.28462
Reported RN Staffing Hours per Resident per Day
0.82846
Reported Licensed Staffing Hours per Resident per Day
3.11308
Reported Total Nurse Staffing Hours per Resident per Day
6.14616
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23308
Expected CNA Staffing Hours per Resident per Day
2.50506
Expected LPN Staffing Hours per Resident per Day
0.77880
Expected RN Staffing Hours per Resident per Day
1.40711
Expected Total Nurse Staffing Hours per Resident per Day
4.69096
Adjusted CNA Staffing Hours per Resident per Day
2.97090
Adjusted LPN Staffing Hours per Resident per Day
2.43482
Adjusted RN Staffing Hours per Resident per Day
0.43993
Adjusted Total Nurse Staffing Hours per Resident per Day
5.28134
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
50.00000
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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