Mayflower Gardens Conv Hosp - Lancaster Nursing Home
General Information
UPDATEFederal Provider Number
56286
Provider Name
MAYFLOWER GARDENS CONV HOSP
Provider Address
6705 WEST AVENUE M
LANCASTER, CA 93536
LANCASTER, CA 93536
Provider Phone Number
(661) 943-3212
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAYFLOWER GARDENS HEALTH FAC., INC
Date First Approved to Provide Medicare and Medicaid services
1971-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.79070
Reported LPN Staffing Hours per Resident per Day
0.76744
Reported RN Staffing Hours per Resident per Day
0.45233
Reported Licensed Staffing Hours per Resident per Day
1.21977
Reported Total Nurse Staffing Hours per Resident per Day
4.01047
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06628
Expected CNA Staffing Hours per Resident per Day
2.61555
Expected LPN Staffing Hours per Resident per Day
0.62119
Expected RN Staffing Hours per Resident per Day
0.86653
Expected Total Nurse Staffing Hours per Resident per Day
4.10326
Adjusted CNA Staffing Hours per Resident per Day
2.61801
Adjusted LPN Staffing Hours per Resident per Day
1.02541
Adjusted RN Staffing Hours per Resident per Day
0.39004
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93974
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2012-03-04
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
78
Cycle 3 Total Health Score
234
Total Weighted Health Survey Score
97.00000
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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