Topanga Terrace - Canoga Park Nursing Home
General Information
UPDATEFederal Provider Number
56092
Provider Name
TOPANGA TERRACE
Provider Address
22125 ROSCOE BLVD
CANOGA PARK, CA 91304
CANOGA PARK, CA 91304
Provider Phone Number
(818) 883-7292
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
22125 ROSCOE CORP.
Date First Approved to Provide Medicare and Medicaid services
1973-01-01
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
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
3.53158
Reported LPN Staffing Hours per Resident per Day
2.66368
Reported RN Staffing Hours per Resident per Day
1.21737
Reported Licensed Staffing Hours per Resident per Day
3.88105
Reported Total Nurse Staffing Hours per Resident per Day
7.41263
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18053
Expected CNA Staffing Hours per Resident per Day
2.86898
Expected LPN Staffing Hours per Resident per Day
1.14282
Expected RN Staffing Hours per Resident per Day
1.71870
Expected Total Nurse Staffing Hours per Resident per Day
5.73050
Adjusted CNA Staffing Hours per Resident per Day
3.02039
Adjusted LPN Staffing Hours per Resident per Day
1.93457
Adjusted RN Staffing Hours per Resident per Day
0.52925
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21413
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2013-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-04-16
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
44.66700
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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