Maple Healthcare Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55036
Provider Name
MAPLE HEALTHCARE CENTER
Provider Address
2625 S. MAPLE AVE.
LOS ANGELES, CA 90011
LOS ANGELES, CA 90011
Provider Phone Number
(213) 747-6371
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.92321
Reported LPN Staffing Hours per Resident per Day
0.58125
Reported RN Staffing Hours per Resident per Day
0.56250
Reported Licensed Staffing Hours per Resident per Day
1.14375
Reported Total Nurse Staffing Hours per Resident per Day
4.06696
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05089
Expected CNA Staffing Hours per Resident per Day
2.35680
Expected LPN Staffing Hours per Resident per Day
0.55950
Expected RN Staffing Hours per Resident per Day
0.89657
Expected Total Nurse Staffing Hours per Resident per Day
3.81287
Adjusted CNA Staffing Hours per Resident per Day
3.04340
Adjusted LPN Staffing Hours per Resident per Day
0.86227
Adjusted RN Staffing Hours per Resident per Day
0.46879
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29952
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-03-29
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-12-09
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-09-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
46.00000
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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