Pacifica Hospital Of The Valley Dp Snf - Sun Valley Nursing Home
General Information
UPDATEFederal Provider Number
555217
Provider Name
PACIFICA HOSPITAL OF THE VALLEY DP SNF
Provider Address
9449 SAN FERNANDO ROAD
SUN VALLEY, CA 91352
SUN VALLEY, CA 91352
Provider Phone Number
(818) 767-3310
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PACIFICA OF THE VALLEY CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1985-12-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
0.31579
Reported LPN Staffing Hours per Resident per Day
5.53750
Reported RN Staffing Hours per Resident per Day
1.40987
Reported Licensed Staffing Hours per Resident per Day
6.94737
Reported Total Nurse Staffing Hours per Resident per Day
7.26316
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10329
Expected CNA Staffing Hours per Resident per Day
2.71534
Expected LPN Staffing Hours per Resident per Day
1.23195
Expected RN Staffing Hours per Resident per Day
1.81728
Expected Total Nurse Staffing Hours per Resident per Day
5.76458
Adjusted CNA Staffing Hours per Resident per Day
0.28536
Adjusted LPN Staffing Hours per Resident per Day
3.73076
Adjusted RN Staffing Hours per Resident per Day
0.57969
Adjusted Total Nurse Staffing Hours per Resident per Day
5.07879
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
228
Cycle 1 Standard Survey Health Date
2014-11-03
Cycle 1 Number of Health Revisits
4
Cycle 1 Health Revisit Score
194
Cycle 1 Total Health Score
422
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-07-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
253.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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