Meadowbrook Behavioral Health Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
05A269
Provider Name
MEADOWBROOK BEHAVIORAL HEALTH CENTER
Provider Address
3951 EAST BLVD.
LOS ANGELES, CA 90066
LOS ANGELES, CA 90066
Provider Phone Number
(310) 391-8266
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
77
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67727
Reported LPN Staffing Hours per Resident per Day
0.65065
Reported RN Staffing Hours per Resident per Day
0.13442
Reported Licensed Staffing Hours per Resident per Day
0.78506
Reported Total Nurse Staffing Hours per Resident per Day
2.46234
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.33355
Expected LPN Staffing Hours per Resident per Day
0.42149
Expected RN Staffing Hours per Resident per Day
0.56184
Expected Total Nurse Staffing Hours per Resident per Day
2.31689
Adjusted CNA Staffing Hours per Resident per Day
3.08613
Adjusted LPN Staffing Hours per Resident per Day
1.28126
Adjusted RN Staffing Hours per Resident per Day
0.17877
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28396
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
32
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-02-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
54.66700
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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