Westside Health Care - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555139
Provider Name
WESTSIDE HEALTH CARE
Provider Address
1020 SOUTH FAIRFAX AVE
LOS ANGELES, CA 90019
LOS ANGELES, CA 90019
Provider Phone Number
(323) 938-2451
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTSIDE HEALTH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-12-11
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
1
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
2.50147
Reported LPN Staffing Hours per Resident per Day
1.27647
Reported RN Staffing Hours per Resident per Day
0.36814
Reported Licensed Staffing Hours per Resident per Day
1.64461
Reported Total Nurse Staffing Hours per Resident per Day
4.14608
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.38848
Expected LPN Staffing Hours per Resident per Day
0.65551
Expected RN Staffing Hours per Resident per Day
1.05009
Expected Total Nurse Staffing Hours per Resident per Day
4.09408
Adjusted CNA Staffing Hours per Resident per Day
2.56977
Adjusted LPN Staffing Hours per Resident per Day
1.61626
Adjusted RN Staffing Hours per Resident per Day
0.26195
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08210
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2015-03-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-11-20
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
30
Cycle 3 Number of Standard Health Deficiencies
25
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2012-08-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
129.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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