Windsor Gardens Healthcare Of The Valley - North Hollywood Nursing Home
General Information
UPDATEFederal Provider Number
555012
Provider Name
WINDSOR GARDENS HEALTHCARE OF THE VALLEY
Provider Address
13000 VICTORY BLVD,
NORTH HOLLYWOOD, CA 91606
NORTH HOLLYWOOD, CA 91606
Provider Phone Number
(818) 985-5990
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
13000 VICTORY BOULEVARD LLC
Date First Approved to Provide Medicare and Medicaid services
1979-10-01
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
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
2.25814
Reported LPN Staffing Hours per Resident per Day
0.85174
Reported RN Staffing Hours per Resident per Day
0.56570
Reported Licensed Staffing Hours per Resident per Day
1.41744
Reported Total Nurse Staffing Hours per Resident per Day
3.67558
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21570
Expected CNA Staffing Hours per Resident per Day
2.55068
Expected LPN Staffing Hours per Resident per Day
0.73187
Expected RN Staffing Hours per Resident per Day
1.28044
Expected Total Nurse Staffing Hours per Resident per Day
4.56298
Adjusted CNA Staffing Hours per Resident per Day
2.17228
Adjusted LPN Staffing Hours per Resident per Day
0.96595
Adjusted RN Staffing Hours per Resident per Day
0.33011
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24698
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
80
Cycle 1 Standard Survey Health Date
2013-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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