Santa Monica Conv Ctr Ii - Santa Monica Nursing Home
General Information
UPDATEFederal Provider Number
55748
Provider Name
SANTA MONICA CONV CTR II
Provider Address
2250 29TH STREET
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
44
Number of Residents in Certified Beds
41
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
1967-05-25
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.07439
Reported LPN Staffing Hours per Resident per Day
0.76707
Reported RN Staffing Hours per Resident per Day
0.27683
Reported Licensed Staffing Hours per Resident per Day
1.04390
Reported Total Nurse Staffing Hours per Resident per Day
4.11829
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16707
Expected CNA Staffing Hours per Resident per Day
2.63903
Expected LPN Staffing Hours per Resident per Day
0.56045
Expected RN Staffing Hours per Resident per Day
0.85074
Expected Total Nurse Staffing Hours per Resident per Day
4.05023
Adjusted CNA Staffing Hours per Resident per Day
2.85849
Adjusted LPN Staffing Hours per Resident per Day
1.13599
Adjusted RN Staffing Hours per Resident per Day
0.24314
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09864
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
184
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
184
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-29
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
105.33300
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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