Motion Picture And T.v. Hosp D/p Snf - Woodland Hills Nursing Home
General Information
UPDATEFederal Provider Number
55034
Provider Name
MOTION PICTURE AND T.V. HOSP D/P SNF
Provider Address
23388 MULHOLLAND DR.
WOODLAND HILLS, CA 91364
WOODLAND HILLS, CA 91364
Provider Phone Number
(818) 876-1888
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
195
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MOTION PICTURE AND TELEVISION FUND
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.70294
Reported LPN Staffing Hours per Resident per Day
1.45368
Reported RN Staffing Hours per Resident per Day
0.64044
Reported Licensed Staffing Hours per Resident per Day
2.09412
Reported Total Nurse Staffing Hours per Resident per Day
4.79706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41471
Expected CNA Staffing Hours per Resident per Day
2.50371
Expected LPN Staffing Hours per Resident per Day
0.55646
Expected RN Staffing Hours per Resident per Day
0.78692
Expected Total Nurse Staffing Hours per Resident per Day
3.84710
Adjusted CNA Staffing Hours per Resident per Day
2.64895
Adjusted LPN Staffing Hours per Resident per Day
2.16825
Adjusted RN Staffing Hours per Resident per Day
0.60811
Adjusted Total Nurse Staffing Hours per Resident per Day
5.02625
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2012-12-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
34.00000
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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