Verdugo Valley Skilled Nursing & Wellness Ct - Montrose Nursing Home
General Information
UPDATEFederal Provider Number
56322
Provider Name
VERDUGO VALLEY SKILLED NURSING & WELLNESS CT
Provider Address
2635 HONOLULU AVE
MONTROSE, CA 91020
MONTROSE, CA 91020
Provider Phone Number
(818) 248-6856
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VERDUGO VALLEY SKILLED NURSING & WELLNESS CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-12-23
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
3
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
3.28615
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.44500
Reported Licensed Staffing Hours per Resident per Day
0.44500
Reported Total Nurse Staffing Hours per Resident per Day
3.73115
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15385
Expected CNA Staffing Hours per Resident per Day
2.30541
Expected LPN Staffing Hours per Resident per Day
0.60271
Expected RN Staffing Hours per Resident per Day
1.17421
Expected Total Nurse Staffing Hours per Resident per Day
4.08234
Adjusted CNA Staffing Hours per Resident per Day
3.49752
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.28317
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68414
Cycle 1 Total Number of Health Deficiencies
39
Cycle 1 Number of Standard Health Deficiencies
25
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
248
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
248
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-12
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
20
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
307
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
307
Total Weighted Health Survey Score
188.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
14
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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