Memorial Hosp Of Gardena D P S - Gardena Nursing Home

General Information

UPDATE
Federal Provider Number
555441
Provider Name
MEMORIAL HOSP OF GARDENA D P S
Provider Address
1145 W. REDONDO BEACH
GARDENA, CA 90247
Provider Phone Number
(310) 532-4200
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1990-12-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.30809
Reported LPN Staffing Hours per Resident per Day
2.36912
Reported RN Staffing Hours per Resident per Day
1.81103
Reported Licensed Staffing Hours per Resident per Day
4.18015
Reported Total Nurse Staffing Hours per Resident per Day
7.48824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.84091
Expected LPN Staffing Hours per Resident per Day
1.49311
Expected RN Staffing Hours per Resident per Day
1.94341
Expected Total Nurse Staffing Hours per Resident per Day
6.27743
Adjusted CNA Staffing Hours per Resident per Day
2.85720
Adjusted LPN Staffing Hours per Resident per Day
1.31696
Adjusted RN Staffing Hours per Resident per Day
0.69630
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80839
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
40
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
73.33300
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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