Tarzana Health Rehab Ctr - Tarzana Nursing Home
General Information
UPDATEFederal Provider Number
56124
Provider Name
TARZANA HEALTH REHAB CTR
Provider Address
5650 RESEDA BLVD
TARZANA, CA 91356
TARZANA, CA 91356
Provider Phone Number
(818) 881-4261
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC TARZANA OPERATING COMPANY LP
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.08525
Reported LPN Staffing Hours per Resident per Day
0.78597
Reported RN Staffing Hours per Resident per Day
0.59137
Reported Licensed Staffing Hours per Resident per Day
1.37734
Reported Total Nurse Staffing Hours per Resident per Day
3.46259
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07086
Expected CNA Staffing Hours per Resident per Day
2.57577
Expected LPN Staffing Hours per Resident per Day
0.66420
Expected RN Staffing Hours per Resident per Day
1.05297
Expected Total Nurse Staffing Hours per Resident per Day
4.29294
Adjusted CNA Staffing Hours per Resident per Day
1.98643
Adjusted LPN Staffing Hours per Resident per Day
0.98217
Adjusted RN Staffing Hours per Resident per Day
0.41964
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25124
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
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
64
Cycle 2 Standard Health Survey Date
2013-10-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2012-06-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
112.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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