Virgil Rehabilitation & Skilled Nursing Center - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
55157
Provider Name
VIRGIL REHABILITATION & SKILLED NURSING CENTER
Provider Address
975 NORTH VIRGIL AVENUE
LOS ANGELES, CA 90029
LOS ANGELES, CA 90029
Provider Phone Number
(213) 665-8209
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADVANCED SKILLED NURSING INC.
Date First Approved to Provide Medicare and Medicaid services
1968-12-10
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.83611
Reported LPN Staffing Hours per Resident per Day
0.87500
Reported RN Staffing Hours per Resident per Day
0.53380
Reported Licensed Staffing Hours per Resident per Day
1.40880
Reported Total Nurse Staffing Hours per Resident per Day
4.24491
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06157
Expected CNA Staffing Hours per Resident per Day
2.64493
Expected LPN Staffing Hours per Resident per Day
0.69418
Expected RN Staffing Hours per Resident per Day
1.05596
Expected Total Nurse Staffing Hours per Resident per Day
4.39506
Adjusted CNA Staffing Hours per Resident per Day
2.63106
Adjusted LPN Staffing Hours per Resident per Day
1.04620
Adjusted RN Staffing Hours per Resident per Day
0.37772
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89319
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-08-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-04-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
64.00000
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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