Manchester Manor Conv Hospital - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555273
Provider Name
MANCHESTER MANOR CONV HOSPITAL
Provider Address
837 W. MANCHESTER AVE.
LOS ANGELES, CA 90044
LOS ANGELES, CA 90044
Provider Phone Number
(323) 753-1789
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
49
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANCHESTER MANOR CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1987-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
0
QM Rating Footnote
Data Not Available
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
2.95455
Reported LPN Staffing Hours per Resident per Day
0.88068
Reported RN Staffing Hours per Resident per Day
0.38864
Reported Licensed Staffing Hours per Resident per Day
1.26932
Reported Total Nurse Staffing Hours per Resident per Day
4.22387
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03295
Expected CNA Staffing Hours per Resident per Day
2.38528
Expected LPN Staffing Hours per Resident per Day
0.60658
Expected RN Staffing Hours per Resident per Day
0.88505
Expected Total Nurse Staffing Hours per Resident per Day
3.87691
Adjusted CNA Staffing Hours per Resident per Day
3.03929
Adjusted LPN Staffing Hours per Resident per Day
1.20506
Adjusted RN Staffing Hours per Resident per Day
0.32811
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39164
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-01-26
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-10-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
36.66700
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
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