Woodruff Convalescent Center - Bellflower Nursing Home
General Information
UPDATEFederal Provider Number
56405
Provider Name
WOODRUFF CONVALESCENT CENTER
Provider Address
17836 WOODRUFF AVENUE
BELLFLOWER, CA 90706
BELLFLOWER, CA 90706
Provider Phone Number
(562) 925-8457
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ESTRELLA INC
Date First Approved to Provide Medicare and Medicaid services
1973-10-19
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
1
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
2.31992
Reported LPN Staffing Hours per Resident per Day
0.91382
Reported RN Staffing Hours per Resident per Day
0.35488
Reported Licensed Staffing Hours per Resident per Day
1.26870
Reported Total Nurse Staffing Hours per Resident per Day
3.58862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04634
Expected CNA Staffing Hours per Resident per Day
2.39393
Expected LPN Staffing Hours per Resident per Day
0.65925
Expected RN Staffing Hours per Resident per Day
1.20307
Expected Total Nurse Staffing Hours per Resident per Day
4.25626
Adjusted CNA Staffing Hours per Resident per Day
2.37784
Adjusted LPN Staffing Hours per Resident per Day
1.15050
Adjusted RN Staffing Hours per Resident per Day
0.22041
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39861
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-12-08
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
21
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
3
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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