Little Sisters Of The Poor - San Pedro Nursing Home
General Information
UPDATEFederal Provider Number
05A331
Provider Name
LITTLE SISTERS OF THE POOR
Provider Address
2100 S. WESTERN AVE.
SAN PEDRO, CA 90732
SAN PEDRO, CA 90732
Provider Phone Number
3105480625
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
27
Number of Residents in Certified Beds
26
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1980-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.43780
Expected LPN Staffing Hours per Resident per Day
0.51080
Expected RN Staffing Hours per Resident per Day
0.64820
Expected Total Nurse Staffing Hours per Resident per Day
3.59680
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-05-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Seacrest Convalescent Hospital
1416 West 6th Street |
SAN PEDRO CA 90732 | 1 mile away
Providence Little Comp Of Mary Subacute Care Ctr
1322 West Sixth Street |
SAN PEDRO CA 90732 | 1.1 miles away
Los Palos Convalescent Hosp
1430 West 6th Street |
SAN PEDRO CA 90732 | 1.1 miles away
Harbor View House
921 S. Beacon Street |
SAN PEDRO CA 90731 | 1.9 miles away
Palos Verdes Health Care Cente
26303 Western Ave. |
LOMITA CA 90717 | 4.1 miles away
Lomita Post-acute Care Center
1955 W. Lomita Blvd |
LOMITA CA 90717 | 5.2 miles away
Torrance Memorial Med Ctr Snf/dp
3330 West Lomita Blvd |
TORRANCE CA 90505 | 6.3 miles away
Sunnyside Nursing Center
22617 So. Vermont Ave |
TORRANCE CA 90502 | 6.7 miles away
Royalwood Care Center
22520 Maple Avenue |
TORRANCE CA 90505 | 7 miles away
Vermont Convalescent Center
22035 S. Vermont Avenue |
TORRANCE CA 90502 | 7.2 miles away
Del Amo Gardens Convalescent
22419 Kent Avenue |
TORRANCE CA 90505 | 7.4 miles away
Harbor Post Acute Care Center
21521 S. Vermont Avenue |
TORRANCE CA 90502 | 7.5 miles away
Heritage Rehabilitation Center
21414 S. Vermont Avenue |
TORRANCE CA 90502 | 7.6 miles away
Harbor View Behavioral Health Center
490 W. 14th Street |
LONG BEACH CA 90813 | 7.7 miles away
Villa Maria Care Center
723 E 9th Street |
LONG BEACH CA 90813 | 8.2 miles away
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