Las Flores Convalescent Hospital - Gardena Nursing Home
General Information
UPDATEFederal Provider Number
555057
Provider Name
LAS FLORES CONVALESCENT HOSPITAL
Provider Address
14165 PURCHE AVE.
GARDENA, CA 90249
GARDENA, CA 90249
Provider Phone Number
(310) 323-4570
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
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAIBCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-09-20
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51319
Reported LPN Staffing Hours per Resident per Day
1.44176
Reported RN Staffing Hours per Resident per Day
0.41813
Reported Licensed Staffing Hours per Resident per Day
1.85989
Reported Total Nurse Staffing Hours per Resident per Day
4.37308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11319
Expected CNA Staffing Hours per Resident per Day
2.38737
Expected LPN Staffing Hours per Resident per Day
0.64480
Expected RN Staffing Hours per Resident per Day
1.09836
Expected Total Nurse Staffing Hours per Resident per Day
4.13053
Adjusted CNA Staffing Hours per Resident per Day
2.58302
Adjusted LPN Staffing Hours per Resident per Day
1.85585
Adjusted RN Staffing Hours per Resident per Day
0.28445
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26760
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
213
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
107
Cycle 1 Total Health Score
320
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-12-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
188.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
60350
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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