St. John Of God Retirement - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55253
Provider Name
ST. JOHN OF GOD RETIREMENT
Provider Address
2468 SOUTH ST ANDREWS PLACE
LOS ANGELES, CA 90018
LOS ANGELES, CA 90018
Provider Phone Number
(323) 731-0641
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
156
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. JOHN OF GOD RETIREMENT AND CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.60994
Reported LPN Staffing Hours per Resident per Day
1.12628
Reported RN Staffing Hours per Resident per Day
0.53654
Reported Licensed Staffing Hours per Resident per Day
1.66282
Reported Total Nurse Staffing Hours per Resident per Day
4.27276
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03654
Expected CNA Staffing Hours per Resident per Day
2.41213
Expected LPN Staffing Hours per Resident per Day
0.56150
Expected RN Staffing Hours per Resident per Day
0.89342
Expected Total Nurse Staffing Hours per Resident per Day
3.86705
Adjusted CNA Staffing Hours per Resident per Day
2.65492
Adjusted LPN Staffing Hours per Resident per Day
1.66484
Adjusted RN Staffing Hours per Resident per Day
0.44873
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45380
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
92
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
92
Cycle 2 Total Number of Health Deficiencies
32
Cycle 2 Number of Standard Health Deficiencies
30
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
220
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
220
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2011-12-10
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
90
Cycle 3 Total Health Score
218
Total Weighted Health Survey Score
155.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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