Mid-wilshire Health Care Cntr - Los Angeles Nursing Home

General Information

UPDATE
Federal Provider Number
56174
Provider Name
MID-WILSHIRE HEALTH CARE CNTR
Provider Address
676 S. BONNIE BRAE STREET
LOS ANGELES, CA 90057
Provider Phone Number
(213) 483-9921
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MID-WILSHIRE HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1974-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.79145
Reported LPN Staffing Hours per Resident per Day
0.64605
Reported RN Staffing Hours per Resident per Day
1.03947
Reported Licensed Staffing Hours per Resident per Day
1.68553
Reported Total Nurse Staffing Hours per Resident per Day
4.47697
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13158
Expected CNA Staffing Hours per Resident per Day
2.26249
Expected LPN Staffing Hours per Resident per Day
0.58017
Expected RN Staffing Hours per Resident per Day
0.93424
Expected Total Nurse Staffing Hours per Resident per Day
3.77691
Adjusted CNA Staffing Hours per Resident per Day
3.02736
Adjusted LPN Staffing Hours per Resident per Day
0.92425
Adjusted RN Staffing Hours per Resident per Day
0.83136
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77804
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
44
Cycle 1 Standard Survey Health Date
2015-03-20
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
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-08-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
3
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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