Magnolia Gardens - Granada Hills Nursing Home
General Information
UPDATEFederal Provider Number
55142
Provider Name
MAGNOLIA GARDENS
Provider Address
17922 SAN FERNANDO MISSION RD
GRANADA HILLS, CA 91344
GRANADA HILLS, CA 91344
Provider Phone Number
(818) 360-1864
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
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNOLIA GARDENS CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.28750
Reported LPN Staffing Hours per Resident per Day
0.70227
Reported RN Staffing Hours per Resident per Day
0.65852
Reported Licensed Staffing Hours per Resident per Day
1.36080
Reported Total Nurse Staffing Hours per Resident per Day
3.64829
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17557
Expected CNA Staffing Hours per Resident per Day
2.46867
Expected LPN Staffing Hours per Resident per Day
0.63044
Expected RN Staffing Hours per Resident per Day
1.15217
Expected Total Nurse Staffing Hours per Resident per Day
4.25128
Adjusted CNA Staffing Hours per Resident per Day
2.27363
Adjusted LPN Staffing Hours per Resident per Day
0.92457
Adjusted RN Staffing Hours per Resident per Day
0.42706
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45917
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-09-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
58.66700
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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