Santa Monica Conv Ctr I - Santa Monica Nursing Home
General Information
UPDATEFederal Provider Number
555786
Provider Name
SANTA MONICA CONV CTR I
Provider Address
2828 PICO BOULEVARD
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Provider Phone Number
(310) 450-7694
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
41
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AB CRISPINO & COMPANY INC
Date First Approved to Provide Medicare and Medicaid services
2002-04-08
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.16613
Reported LPN Staffing Hours per Resident per Day
1.00000
Reported RN Staffing Hours per Resident per Day
0.30968
Reported Licensed Staffing Hours per Resident per Day
1.30968
Reported Total Nurse Staffing Hours per Resident per Day
4.47581
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00968
Expected CNA Staffing Hours per Resident per Day
2.21677
Expected LPN Staffing Hours per Resident per Day
0.52307
Expected RN Staffing Hours per Resident per Day
0.70997
Expected Total Nurse Staffing Hours per Resident per Day
3.44982
Adjusted CNA Staffing Hours per Resident per Day
3.50452
Adjusted LPN Staffing Hours per Resident per Day
1.58678
Adjusted RN Staffing Hours per Resident per Day
0.32592
Adjusted Total Nurse Staffing Hours per Resident per Day
5.22971
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2013-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
28
Cycle 2 Standard Health Survey Date
2012-04-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2011-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
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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