Providence Little Co Of Mary Transitional Care Ctr - Torrance Nursing Home
General Information
UPDATEFederal Provider Number
56499
Provider Name
PROVIDENCE LITTLE CO OF MARY TRANSITIONAL CARE CTR
Provider Address
4320 MARICOPA STREET
TORRANCE, CA 90503
TORRANCE, CA 90503
Provider Phone Number
(310) 543-5900
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
115
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Date First Approved to Provide Medicare and Medicaid services
1980-02-08
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.58947
Reported LPN Staffing Hours per Resident per Day
0.75175
Reported RN Staffing Hours per Resident per Day
4.85263
Reported Licensed Staffing Hours per Resident per Day
5.60439
Reported Total Nurse Staffing Hours per Resident per Day
9.19385
Reported Physical Therapist Staffing Hours per Resident Per Day
0.97018
Expected CNA Staffing Hours per Resident per Day
2.41361
Expected LPN Staffing Hours per Resident per Day
0.96115
Expected RN Staffing Hours per Resident per Day
2.09203
Expected Total Nurse Staffing Hours per Resident per Day
5.46678
Adjusted CNA Staffing Hours per Resident per Day
3.64909
Adjusted LPN Staffing Hours per Resident per Day
0.64918
Adjusted RN Staffing Hours per Resident per Day
1.73319
Adjusted Total Nurse Staffing Hours per Resident per Day
6.77903
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
16
Cycle 1 Standard Survey Health Date
2014-12-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
60
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
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
48
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
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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