Rose Villa Health Care Center - Bellflower Nursing Home
General Information
UPDATEFederal Provider Number
56104
Provider Name
ROSE VILLA HEALTH CARE CENTER
Provider Address
9028 ROSE STREET
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
Provider Phone Number
(562) 925-4252
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELL VILLA CARE ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
1971-11-01
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.63214
Reported LPN Staffing Hours per Resident per Day
1.11071
Reported RN Staffing Hours per Resident per Day
1.21071
Reported Licensed Staffing Hours per Resident per Day
2.32143
Reported Total Nurse Staffing Hours per Resident per Day
4.95356
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25357
Expected CNA Staffing Hours per Resident per Day
2.65396
Expected LPN Staffing Hours per Resident per Day
0.88011
Expected RN Staffing Hours per Resident per Day
1.47387
Expected Total Nurse Staffing Hours per Resident per Day
5.00795
Adjusted CNA Staffing Hours per Resident per Day
2.43352
Adjusted LPN Staffing Hours per Resident per Day
1.04747
Adjusted RN Staffing Hours per Resident per Day
0.61379
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98712
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-01-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
174
Cycle 3 Standard Health Survey Date
2011-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
174
Total Weighted Health Survey Score
51.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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