South Bay Keiro Nursing Home - Gardena Nursing Home
General Information
UPDATEFederal Provider Number
555306
Provider Name
SOUTH BAY KEIRO NURSING HOME
Provider Address
15115 S VERMONT AVE
GARDENA, CA 90247
GARDENA, CA 90247
Provider Phone Number
(310) 532-0700
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KEIRO NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1988-03-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.63495
Reported LPN Staffing Hours per Resident per Day
0.75161
Reported RN Staffing Hours per Resident per Day
0.43548
Reported Licensed Staffing Hours per Resident per Day
1.18710
Reported Total Nurse Staffing Hours per Resident per Day
3.82204
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08763
Expected CNA Staffing Hours per Resident per Day
2.46871
Expected LPN Staffing Hours per Resident per Day
0.53526
Expected RN Staffing Hours per Resident per Day
0.79568
Expected Total Nurse Staffing Hours per Resident per Day
3.79965
Adjusted CNA Staffing Hours per Resident per Day
2.61893
Adjusted LPN Staffing Hours per Resident per Day
1.16549
Adjusted RN Staffing Hours per Resident per Day
0.40895
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05466
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-11-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
60
Cycle 2 Total Health Score
180
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-08-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
107.33300
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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