Saint Vincent Med Ctr Dp Snf - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555437
Provider Name
SAINT VINCENT MED CTR DP SNF
Provider Address
2131 WEST 3RD STREET
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
Provider Phone Number
(213) 484-7111
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
27
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. VINCENT MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1990-09-28
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
3
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
2.85750
Reported LPN Staffing Hours per Resident per Day
1.80000
Reported RN Staffing Hours per Resident per Day
3.04250
Reported Licensed Staffing Hours per Resident per Day
4.84250
Reported Total Nurse Staffing Hours per Resident per Day
7.70000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.57250
Expected CNA Staffing Hours per Resident per Day
2.24286
Expected LPN Staffing Hours per Resident per Day
0.98651
Expected RN Staffing Hours per Resident per Day
2.13175
Expected Total Nurse Staffing Hours per Resident per Day
5.36111
Adjusted CNA Staffing Hours per Resident per Day
3.12612
Adjusted LPN Staffing Hours per Resident per Day
1.51443
Adjusted RN Staffing Hours per Resident per Day
1.06643
Adjusted Total Nurse Staffing Hours per Resident per Day
5.78946
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-02-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-11-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-09-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
55.33300
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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