Westlake Convalescent Hospital - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
56242
Provider Name
WESTLAKE CONVALESCENT HOSPITAL
Provider Address
316 S WESTLAKE AVENUE
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
Provider Phone Number
(213) 484-0510
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AJIT HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-10-31
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
2
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
2.81759
Reported LPN Staffing Hours per Resident per Day
2.42963
Reported RN Staffing Hours per Resident per Day
0.59167
Reported Licensed Staffing Hours per Resident per Day
3.02130
Reported Total Nurse Staffing Hours per Resident per Day
5.83889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03102
Expected CNA Staffing Hours per Resident per Day
2.62260
Expected LPN Staffing Hours per Resident per Day
1.06675
Expected RN Staffing Hours per Resident per Day
1.45311
Expected Total Nurse Staffing Hours per Resident per Day
5.14247
Adjusted CNA Staffing Hours per Resident per Day
2.63613
Adjusted LPN Staffing Hours per Resident per Day
1.89040
Adjusted RN Staffing Hours per Resident per Day
0.30424
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57679
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
25
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
239
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
120
Cycle 3 Total Health Score
359
Total Weighted Health Survey Score
113.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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