Villa Elena Healthcare Center - Norwalk Nursing Home
General Information
UPDATEFederal Provider Number
56425
Provider Name
VILLA ELENA HEALTHCARE CENTER
Provider Address
13226 STUDEBAKER RD
NORWALK, CA 90650
NORWALK, CA 90650
Provider Phone Number
(562) 868-0591
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA ELENA CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1974-04-05
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.01929
Reported LPN Staffing Hours per Resident per Day
0.79714
Reported RN Staffing Hours per Resident per Day
0.60071
Reported Licensed Staffing Hours per Resident per Day
1.39786
Reported Total Nurse Staffing Hours per Resident per Day
4.41714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09571
Expected CNA Staffing Hours per Resident per Day
2.34037
Expected LPN Staffing Hours per Resident per Day
0.60245
Expected RN Staffing Hours per Resident per Day
0.90301
Expected Total Nurse Staffing Hours per Resident per Day
3.84582
Adjusted CNA Staffing Hours per Resident per Day
3.16550
Adjusted LPN Staffing Hours per Resident per Day
1.09823
Adjusted RN Staffing Hours per Resident per Day
0.49706
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62971
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
1
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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