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Olympia Convalescent Hospital - Los Angeles Nursing Home

General Information

UPDATE
Federal Provider Number
56321
Provider Name
OLYMPIA CONVALESCENT HOSPITAL
Provider Address
1100 S. ALVARADO ST
LOS ANGELES, CA 90006
Provider Phone Number
(213) 487-3000
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1100 SOUTH ALVARADO STREET, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-05-08
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
5
QM Rating Footnote
Staffing Rating
2
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
2.53484
Reported LPN Staffing Hours per Resident per Day
0.60656
Reported RN Staffing Hours per Resident per Day
0.44754
Reported Licensed Staffing Hours per Resident per Day
1.05410
Reported Total Nurse Staffing Hours per Resident per Day
3.58894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04549
Expected CNA Staffing Hours per Resident per Day
2.41325
Expected LPN Staffing Hours per Resident per Day
0.57858
Expected RN Staffing Hours per Resident per Day
0.96056
Expected Total Nurse Staffing Hours per Resident per Day
3.95238
Adjusted CNA Staffing Hours per Resident per Day
2.57733
Adjusted LPN Staffing Hours per Resident per Day
0.87014
Adjusted RN Staffing Hours per Resident per Day
0.34813
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66024
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-03-09
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2011-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
1
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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