Southland - Norwalk Nursing Home

General Information

UPDATE
Federal Provider Number
555070
Provider Name
SOUTHLAND
Provider Address
11701 STUDEBAKER ROAD
NORWALK, CA 90650
Provider Phone Number
(562) 868-9761
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHLAND MANAGMENT LLC
Date First Approved to Provide Medicare and Medicaid services
1977-06-15
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56724
Reported LPN Staffing Hours per Resident per Day
0.78405
Reported RN Staffing Hours per Resident per Day
0.88147
Reported Licensed Staffing Hours per Resident per Day
1.66552
Reported Total Nurse Staffing Hours per Resident per Day
4.23276
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23233
Expected CNA Staffing Hours per Resident per Day
2.43134
Expected LPN Staffing Hours per Resident per Day
0.64270
Expected RN Staffing Hours per Resident per Day
1.16844
Expected Total Nurse Staffing Hours per Resident per Day
4.24249
Adjusted CNA Staffing Hours per Resident per Day
2.59085
Adjusted LPN Staffing Hours per Resident per Day
1.01254
Adjusted RN Staffing Hours per Resident per Day
0.56369
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02166
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
64.66700
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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