Villa Scalabrini Special Care - Sun Valley Nursing Home
General Information
UPDATEFederal Provider Number
555862
Provider Name
VILLA SCALABRINI SPECIAL CARE
Provider Address
10631 VINEDALE STREET
SUN VALLEY, CA 91352
SUN VALLEY, CA 91352
Provider Phone Number
(818) 768-6500
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
58
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA SCALABRINI RETIREMENT CENTER
Date First Approved to Provide Medicare and Medicaid services
2009-06-12
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
4
Health Inspection Rating Footnote
QM Rating
4
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
3.01852
Reported LPN Staffing Hours per Resident per Day
1.06667
Reported RN Staffing Hours per Resident per Day
0.51019
Reported Licensed Staffing Hours per Resident per Day
1.57685
Reported Total Nurse Staffing Hours per Resident per Day
4.59538
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06204
Expected CNA Staffing Hours per Resident per Day
2.55877
Expected LPN Staffing Hours per Resident per Day
0.54621
Expected RN Staffing Hours per Resident per Day
0.85944
Expected Total Nurse Staffing Hours per Resident per Day
3.96442
Adjusted CNA Staffing Hours per Resident per Day
2.89458
Adjusted LPN Staffing Hours per Resident per Day
1.62087
Adjusted RN Staffing Hours per Resident per Day
0.44356
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67244
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
44
Cycle 1 Standard Survey Health Date
2015-03-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
40.66700
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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