Sunray Healthcare Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55870
Provider Name
SUNRAY HEALTHCARE CENTER
Provider Address
3210 W PICO BLVD
LOS ANGELES, CA 90019
LOS ANGELES, CA 90019
Provider Phone Number
(323) 734-2171
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KF SUNRAY LLC
Date First Approved to Provide Medicare and Medicaid services
1969-11-01
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
4
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
2.42841
Reported LPN Staffing Hours per Resident per Day
1.67727
Reported RN Staffing Hours per Resident per Day
1.11023
Reported Licensed Staffing Hours per Resident per Day
2.78750
Reported Total Nurse Staffing Hours per Resident per Day
5.21591
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07045
Expected CNA Staffing Hours per Resident per Day
2.63877
Expected LPN Staffing Hours per Resident per Day
0.88134
Expected RN Staffing Hours per Resident per Day
1.29596
Expected Total Nurse Staffing Hours per Resident per Day
4.81607
Adjusted CNA Staffing Hours per Resident per Day
2.25810
Adjusted LPN Staffing Hours per Resident per Day
1.57957
Adjusted RN Staffing Hours per Resident per Day
0.64011
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36556
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
460
Cycle 2 Standard Health Survey Date
2012-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
460
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-09-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
171.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
39550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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