St Andrews Healthcare - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555218
Provider Name
ST ANDREWS HEALTHCARE
Provider Address
2300 W. WASHINGTON BLVD.
LOS ANGELES, CA 90018
LOS ANGELES, CA 90018
Provider Phone Number
(323) 731-0861
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WASHINGTON ENTERPRISES III LLC
Date First Approved to Provide Medicare and Medicaid services
1986-02-21
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.89565
Reported LPN Staffing Hours per Resident per Day
0.92065
Reported RN Staffing Hours per Resident per Day
0.81413
Reported Licensed Staffing Hours per Resident per Day
1.73478
Reported Total Nurse Staffing Hours per Resident per Day
4.63043
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11957
Expected CNA Staffing Hours per Resident per Day
2.34709
Expected LPN Staffing Hours per Resident per Day
0.61648
Expected RN Staffing Hours per Resident per Day
0.97133
Expected Total Nurse Staffing Hours per Resident per Day
3.93490
Adjusted CNA Staffing Hours per Resident per Day
3.02717
Adjusted LPN Staffing Hours per Resident per Day
1.23952
Adjusted RN Staffing Hours per Resident per Day
0.62627
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74340
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-12-15
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
34
Cycle 2 Total Health Score
102
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
2
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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