Totally Kids Speciality Healthcare - Sun Valley - Sun Valley Nursing Home
General Information
UPDATEFederal Provider Number
555815
Provider Name
TOTALLY KIDS SPECIALITY HEALTHCARE - SUN VALLEY
Provider Address
10716 LA TUNA CANYON ROAD
SUN VALLEY, CA 91352
SUN VALLEY, CA 91352
Provider Phone Number
(818) 252-5863
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2004-10-12
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
5.25909
Reported LPN Staffing Hours per Resident per Day
5.21364
Reported RN Staffing Hours per Resident per Day
1.43295
Reported Licensed Staffing Hours per Resident per Day
6.64659
Reported Total Nurse Staffing Hours per Resident per Day
11.90568
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21591
Expected CNA Staffing Hours per Resident per Day
2.72568
Expected LPN Staffing Hours per Resident per Day
1.43440
Expected RN Staffing Hours per Resident per Day
1.80865
Expected Total Nurse Staffing Hours per Resident per Day
5.96873
Adjusted CNA Staffing Hours per Resident per Day
4.73431
Adjusted LPN Staffing Hours per Resident per Day
3.01682
Adjusted RN Staffing Hours per Resident per Day
0.59199
Adjusted Total Nurse Staffing Hours per Resident per Day
8.04033
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-01-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-10-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-07-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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