Mirada Hills Rehabilitation And Conv Hospital - La Mirada Nursing Home
General Information
UPDATEFederal Provider Number
55737
Provider Name
MIRADA HILLS REHABILITATION AND CONV HOSPITAL
Provider Address
12200 LA MIRADA BLVD.
LA MIRADA, CA 90638
LA MIRADA, CA 90638
Provider Phone Number
(562) 947-8691
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1972-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.44898
Reported LPN Staffing Hours per Resident per Day
1.04439
Reported RN Staffing Hours per Resident per Day
0.43571
Reported Licensed Staffing Hours per Resident per Day
1.48010
Reported Total Nurse Staffing Hours per Resident per Day
3.92908
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17908
Expected CNA Staffing Hours per Resident per Day
2.55092
Expected LPN Staffing Hours per Resident per Day
0.67860
Expected RN Staffing Hours per Resident per Day
1.02670
Expected Total Nurse Staffing Hours per Resident per Day
4.25622
Adjusted CNA Staffing Hours per Resident per Day
2.35564
Adjusted LPN Staffing Hours per Resident per Day
1.27740
Adjusted RN Staffing Hours per Resident per Day
0.31709
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72108
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2013-07-10
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
22
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2012-04-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2010-12-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
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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