Longwood Manor Conv.hospital - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55753
Provider Name
LONGWOOD MANOR CONV.HOSPITAL
Provider Address
4853 W. WASHINGTON BL.
LOS ANGELES, CA 90016
LOS ANGELES, CA 90016
Provider Phone Number
(323) 935-1157
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
198
Number of Residents in Certified Beds
180
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LONGWOOD ENTERPRISES INC
Date First Approved to Provide Medicare and Medicaid services
1967-05-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.45444
Reported LPN Staffing Hours per Resident per Day
1.29778
Reported RN Staffing Hours per Resident per Day
0.59528
Reported Licensed Staffing Hours per Resident per Day
1.89306
Reported Total Nurse Staffing Hours per Resident per Day
4.34750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10694
Expected CNA Staffing Hours per Resident per Day
2.12614
Expected LPN Staffing Hours per Resident per Day
0.70038
Expected RN Staffing Hours per Resident per Day
1.05071
Expected Total Nurse Staffing Hours per Resident per Day
3.87723
Adjusted CNA Staffing Hours per Resident per Day
2.83258
Adjusted LPN Staffing Hours per Resident per Day
1.53796
Adjusted RN Staffing Hours per Resident per Day
0.42333
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51981
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
29
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
176
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
176
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2011-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
144.66700
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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