Providence Little Comp Of Mary Subacute Care Ctr - San Pedro Nursing Home
General Information
UPDATEFederal Provider Number
555848
Provider Name
PROVIDENCE LITTLE COMP OF MARY SUBACUTE CARE CTR
Provider Address
1322 WEST SIXTH STREET
SAN PEDRO, CA 90732
SAN PEDRO, CA 90732
Provider Phone Number
3107914518
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
Non profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORINA
Date First Approved to Provide Medicare and Medicaid services
2008-03-21
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
0.86888
Reported LPN Staffing Hours per Resident per Day
0.25357
Reported RN Staffing Hours per Resident per Day
1.41122
Reported Licensed Staffing Hours per Resident per Day
1.66480
Reported Total Nurse Staffing Hours per Resident per Day
2.53367
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02908
Expected CNA Staffing Hours per Resident per Day
2.86103
Expected LPN Staffing Hours per Resident per Day
1.45285
Expected RN Staffing Hours per Resident per Day
2.05378
Expected Total Nurse Staffing Hours per Resident per Day
6.36766
Adjusted CNA Staffing Hours per Resident per Day
0.74518
Adjusted LPN Staffing Hours per Resident per Day
0.14486
Adjusted RN Staffing Hours per Resident per Day
0.51342
Adjusted Total Nurse Staffing Hours per Resident per Day
1.60388
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-02-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Seacrest Convalescent Hospital
1416 West 6th Street |
SAN PEDRO CA 90732 | 0.1 mile away
Los Palos Convalescent Hosp
1430 West 6th Street |
SAN PEDRO CA 90732 | 0.1 mile away
Little Sisters Of The Poor
2100 S. Western Ave. |
SAN PEDRO CA 90732 | 1.1 miles away
Harbor View House
921 S. Beacon Street |
SAN PEDRO CA 90731 | 1.5 miles away
Palos Verdes Health Care Cente
26303 Western Ave. |
LOMITA CA 90717 | 3 miles away
Lomita Post-acute Care Center
1955 W. Lomita Blvd |
LOMITA CA 90717 | 4.2 miles away
Torrance Memorial Med Ctr Snf/dp
3330 West Lomita Blvd |
TORRANCE CA 90505 | 5.4 miles away
Sunnyside Nursing Center
22617 So. Vermont Ave |
TORRANCE CA 90502 | 5.6 miles away
Royalwood Care Center
22520 Maple Avenue |
TORRANCE CA 90505 | 6.1 miles away
Vermont Convalescent Center
22035 S. Vermont Avenue |
TORRANCE CA 90502 | 6.2 miles away
Harbor Post Acute Care Center
21521 S. Vermont Avenue |
TORRANCE CA 90502 | 6.5 miles away
Del Amo Gardens Convalescent
22419 Kent Avenue |
TORRANCE CA 90505 | 6.6 miles away
Heritage Rehabilitation Center
21414 S. Vermont Avenue |
TORRANCE CA 90502 | 6.6 miles away
Harbor View Behavioral Health Center
490 W. 14th Street |
LONG BEACH CA 90813 | 6.9 miles away
Santa Fe Convalescent Hospital
3294 Santa Fe Avenue |
LONG BEACH CA 90810 | 7.5 miles away
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