Mountain View Conv Hosp - Sylmar Nursing Home
General Information
UPDATEFederal Provider Number
56333
Provider Name
MOUNTAIN VIEW CONV HOSP
Provider Address
13333 FENTON AVENUE
SYLMAR, CA 91342
SYLMAR, CA 91342
Provider Phone Number
(818) 367-1033
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
114
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
13333 FENTON AVE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-04-01
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
4
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
3.15611
Reported LPN Staffing Hours per Resident per Day
1.69667
Reported RN Staffing Hours per Resident per Day
0.99611
Reported Licensed Staffing Hours per Resident per Day
2.69278
Reported Total Nurse Staffing Hours per Resident per Day
5.84889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15056
Expected CNA Staffing Hours per Resident per Day
2.54440
Expected LPN Staffing Hours per Resident per Day
0.88641
Expected RN Staffing Hours per Resident per Day
1.42475
Expected Total Nurse Staffing Hours per Resident per Day
4.85556
Adjusted CNA Staffing Hours per Resident per Day
3.04360
Adjusted LPN Staffing Hours per Resident per Day
1.58869
Adjusted RN Staffing Hours per Resident per Day
0.52240
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85552
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-10-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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