Vernon Healthcare Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55167
Provider Name
VERNON HEALTHCARE CENTER
Provider Address
1037 W. VERNON AVENUE
LOS ANGELES, CA 90037
LOS ANGELES, CA 90037
Provider Phone Number
3232324895
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Individual
Number of Certified Beds
99
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VERNON HEALTHCARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96465
Reported LPN Staffing Hours per Resident per Day
1.22576
Reported RN Staffing Hours per Resident per Day
0.34848
Reported Licensed Staffing Hours per Resident per Day
1.57424
Reported Total Nurse Staffing Hours per Resident per Day
4.53889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12273
Expected CNA Staffing Hours per Resident per Day
2.42459
Expected LPN Staffing Hours per Resident per Day
0.64227
Expected RN Staffing Hours per Resident per Day
1.12665
Expected Total Nurse Staffing Hours per Resident per Day
4.19351
Adjusted CNA Staffing Hours per Resident per Day
3.00024
Adjusted LPN Staffing Hours per Resident per Day
1.58405
Adjusted RN Staffing Hours per Resident per Day
0.23111
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36289
Cycle 1 Total Number of Health Deficiencies
40
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
32
Cycle 1 Health Deficiency Score
1020
Cycle 1 Standard Survey Health Date
2014-05-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
1020
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
524.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Manchester Manor Conv Hospital
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