Van Nuys Health Care Center - Van Nuys Nursing Home
General Information
UPDATEFederal Provider Number
555519
Provider Name
VAN NUYS HEALTH CARE CENTER
Provider Address
6835 HAZELTINE AVE.
VAN NUYS, CA 91405
VAN NUYS, CA 91405
Provider Phone Number
(818) 997-1841
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE CA LLC
Date First Approved to Provide Medicare and Medicaid services
1992-09-16
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35862
Reported LPN Staffing Hours per Resident per Day
0.76466
Reported RN Staffing Hours per Resident per Day
0.40345
Reported Licensed Staffing Hours per Resident per Day
1.16810
Reported Total Nurse Staffing Hours per Resident per Day
3.52673
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07414
Expected CNA Staffing Hours per Resident per Day
1.98396
Expected LPN Staffing Hours per Resident per Day
0.52805
Expected RN Staffing Hours per Resident per Day
0.80021
Expected Total Nurse Staffing Hours per Resident per Day
3.31221
Adjusted CNA Staffing Hours per Resident per Day
2.91707
Adjusted LPN Staffing Hours per Resident per Day
1.20191
Adjusted RN Staffing Hours per Resident per Day
0.37672
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29196
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
32
Cycle 1 Standard Survey Health Date
2015-03-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
56
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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