Whittier Hospital Medical Ctr D/p Snf - Whittier Nursing Home
General Information
UPDATEFederal Provider Number
555589
Provider Name
WHITTIER HOSPITAL MEDICAL CTR D/P SNF
Provider Address
9080 COLIMA ROAD
WHITTIER, CA 90605
WHITTIER, CA 90605
Provider Phone Number
(562) 907-7159
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
22
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-01-24
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.42105
Reported LPN Staffing Hours per Resident per Day
4.15000
Reported RN Staffing Hours per Resident per Day
1.72895
Reported Licensed Staffing Hours per Resident per Day
5.87895
Reported Total Nurse Staffing Hours per Resident per Day
10.30000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09737
Expected CNA Staffing Hours per Resident per Day
2.73751
Expected LPN Staffing Hours per Resident per Day
1.42728
Expected RN Staffing Hours per Resident per Day
1.89034
Expected Total Nurse Staffing Hours per Resident per Day
6.05513
Adjusted CNA Staffing Hours per Resident per Day
3.96270
Adjusted LPN Staffing Hours per Resident per Day
2.41334
Adjusted RN Staffing Hours per Resident per Day
0.68341
Adjusted Total Nurse Staffing Hours per Resident per Day
6.85671
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
29.33300
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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