Norwalk Skilled Nursing & Wellness Centre, Llc - Norwalk Nursing Home
General Information
UPDATEFederal Provider Number
555668
Provider Name
NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC
Provider Address
11510 IMPERIAL HIGHWAY
NORWALK, CA 90650
NORWALK, CA 90650
Provider Phone Number
(562) 868-6791
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-09
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.68846
Reported LPN Staffing Hours per Resident per Day
0.85495
Reported RN Staffing Hours per Resident per Day
0.71978
Reported Licensed Staffing Hours per Resident per Day
1.57473
Reported Total Nurse Staffing Hours per Resident per Day
4.26319
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21978
Expected CNA Staffing Hours per Resident per Day
2.46693
Expected LPN Staffing Hours per Resident per Day
0.62950
Expected RN Staffing Hours per Resident per Day
1.13831
Expected Total Nurse Staffing Hours per Resident per Day
4.23475
Adjusted CNA Staffing Hours per Resident per Day
2.67404
Adjusted LPN Staffing Hours per Resident per Day
1.12726
Adjusted RN Staffing Hours per Resident per Day
0.47247
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05798
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2013-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2012-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2010-11-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
19.33300
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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