San Fernando Post Acute Hospital - Sylmar Nursing Home

General Information

UPDATE
Federal Provider Number
555814
Provider Name
SAN FERNANDO POST ACUTE HOSPITAL
Provider Address
12260 FOOTHILL BLVD
SYLMAR, CA 91342
Provider Phone Number
(818) 899-9545
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
204
Number of Residents in Certified Beds
198
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHILMAR CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2004-11-24
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13561
Reported LPN Staffing Hours per Resident per Day
1.63308
Reported RN Staffing Hours per Resident per Day
0.66490
Reported Licensed Staffing Hours per Resident per Day
2.29798
Reported Total Nurse Staffing Hours per Resident per Day
4.43359
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02879
Expected CNA Staffing Hours per Resident per Day
2.42766
Expected LPN Staffing Hours per Resident per Day
0.87735
Expected RN Staffing Hours per Resident per Day
1.26347
Expected Total Nurse Staffing Hours per Resident per Day
4.56848
Adjusted CNA Staffing Hours per Resident per Day
2.15852
Adjusted LPN Staffing Hours per Resident per Day
1.54494
Adjusted RN Staffing Hours per Resident per Day
0.39321
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91189
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-07-25
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
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2011-12-21
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
66
Cycle 3 Total Health Score
198
Total Weighted Health Survey Score
88.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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