Usc Verdugo Hills Hospital Dp/snf - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
555484
Provider Name
USC VERDUGO HILLS HOSPITAL DP/SNF
Provider Address
1812 VERDUGO BLVD
GLENDALE, CA 91208
GLENDALE, CA 91208
Provider Phone Number
(818) 790-7100
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
18
Number of Residents in Certified Beds
9
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
USC VERDUGO HILLS HOSPITAL LLC
Date First Approved to Provide Medicare and Medicaid services
1991-12-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.59444
Reported LPN Staffing Hours per Resident per Day
2.57778
Reported RN Staffing Hours per Resident per Day
4.41111
Reported Licensed Staffing Hours per Resident per Day
6.98889
Reported Total Nurse Staffing Hours per Resident per Day
8.58333
Reported Physical Therapist Staffing Hours per Resident Per Day
1.60556
Expected CNA Staffing Hours per Resident per Day
2.58975
Expected LPN Staffing Hours per Resident per Day
0.81153
Expected RN Staffing Hours per Resident per Day
2.17372
Expected Total Nurse Staffing Hours per Resident per Day
5.57500
Adjusted CNA Staffing Hours per Resident per Day
1.51068
Adjusted LPN Staffing Hours per Resident per Day
2.63644
Adjusted RN Staffing Hours per Resident per Day
1.51629
Adjusted Total Nurse Staffing Hours per Resident per Day
6.20602
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-02-02
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-10-27
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
47.33300
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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