Maywood Skilled Nursing & Wellness Centre - Maywood Nursing Home
General Information
UPDATEFederal Provider Number
555130
Provider Name
MAYWOOD SKILLED NURSING & WELLNESS CENTRE
Provider Address
6025 PINE AVE
MAYWOOD, CA 90270
MAYWOOD, CA 90270
Provider Phone Number
(323) 560-0720
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAYWOOD SKILLED NURSING & WELLNESS CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
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
2.33976
Reported LPN Staffing Hours per Resident per Day
1.16024
Reported RN Staffing Hours per Resident per Day
0.52717
Reported Licensed Staffing Hours per Resident per Day
1.68740
Reported Total Nurse Staffing Hours per Resident per Day
4.02717
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15197
Expected CNA Staffing Hours per Resident per Day
2.37472
Expected LPN Staffing Hours per Resident per Day
0.63502
Expected RN Staffing Hours per Resident per Day
1.14661
Expected Total Nurse Staffing Hours per Resident per Day
4.15635
Adjusted CNA Staffing Hours per Resident per Day
2.41757
Adjusted LPN Staffing Hours per Resident per Day
1.51649
Adjusted RN Staffing Hours per Resident per Day
0.34353
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90561
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
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
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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