Palos Verdes Health Care Cente - Lomita Nursing Home
General Information
UPDATEFederal Provider Number
555028
Provider Name
PALOS VERDES HEALTH CARE CENTE
Provider Address
26303 WESTERN AVE.
LOMITA, CA 90717
LOMITA, CA 90717
Provider Phone Number
(310) 784-5440
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
48
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLELO & ASSOCIATES
Date First Approved to Provide Medicare and Medicaid services
1976-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.47738
Reported LPN Staffing Hours per Resident per Day
0.86071
Reported RN Staffing Hours per Resident per Day
0.33929
Reported Licensed Staffing Hours per Resident per Day
1.20000
Reported Total Nurse Staffing Hours per Resident per Day
3.67738
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13571
Expected CNA Staffing Hours per Resident per Day
2.21981
Expected LPN Staffing Hours per Resident per Day
0.56578
Expected RN Staffing Hours per Resident per Day
0.85576
Expected Total Nurse Staffing Hours per Resident per Day
3.64135
Adjusted CNA Staffing Hours per Resident per Day
2.73841
Adjusted LPN Staffing Hours per Resident per Day
1.26267
Adjusted RN Staffing Hours per Resident per Day
0.29625
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07079
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-10-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-07-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
29.33300
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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