PROVIDENCE ST ELIZABETH CARE CENTER
CCN: 055192 · NORTH HOLLYWOOD, CA 91601 · Los Angeles County
Overview
- Address
- 10425 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601
- Phone
- 8189803872
- Certified beds
- 52
- Avg daily residents
- 51 (98% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1973-06-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.00 | 4.38 | 3.53 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.68 | 0.77 | 0.60 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.11 | 0.97 | 0.98 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.22 | 2.64 | 1.96 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.78 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.14 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2026-01-02 | 29 | 21 | 9 | 344 | 1 | 344 |
| Cycle 2/3 (prior) | 2024-10-04 | 35 | 22 | 13 | 277 | 1 | 277 |
Deficiencies (84)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2026-01-12 | 2026-01-30 |
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-01-12 | 2026-01-30 |
| 0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E | 2026-01-12 | 2026-01-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2026-01-12 | 2026-01-30 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2026-01-12 | 2026-01-30 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-01-12 | 2026-01-30 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2026-01-02 | 2026-01-30 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2026-01-02 | 2026-01-30 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-01-02 | 2026-01-30 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-01-02 | 2026-01-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-02 | 2026-01-30 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2026-01-02 | 2026-01-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-01-02 | 2026-01-30 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2026-01-02 | 2026-01-30 |
| 0730 | Observe each nurse aide's job performance and give regular training. | D | 2026-01-02 | 2026-01-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-01-02 | 2026-01-30 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | K | 2026-01-02 | 2026-01-30 |
| 0760 | Ensure that residents are free from significant medication errors. | J | 2026-01-02 | 2026-01-30 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2026-01-02 | 2026-01-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-01-02 | 2026-01-30 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2026-01-02 | 2026-01-30 |
| 0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2026-01-02 | 2026-01-30 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-01-02 | 2026-01-30 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2026-01-02 | 2026-01-30 |
| 0881 | Implement a program that monitors antibiotic use. | E | 2026-01-02 | 2026-01-30 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2026-01-02 | 2026-01-30 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2026-01-02 | 2026-01-30 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2025-12-10 | 2026-01-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-04 | 2025-12-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-25 | 2025-12-18 |
| 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2024-10-04 | 2024-10-30 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-10-04 | 2024-10-30 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2024-10-04 | 2024-10-30 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-10-04 | 2024-10-30 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-04 | 2024-10-30 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-10-04 | 2024-10-30 |
| 0641 | Ensure each resident receives an accurate assessment. | B | 2024-10-04 | 2024-10-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-04 | 2024-10-30 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-10-04 | 2024-10-30 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-04 | 2024-10-30 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-04 | 2024-10-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-10-04 | 2024-10-30 |
| 0732 | Post nurse staffing information every day. | B | 2024-10-04 | 2024-10-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | 2024-10-04 | 2024-10-30 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-10-04 | 2024-10-30 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | J | 2024-10-04 | 2024-10-30 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2024-10-04 | 2024-10-30 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-10-04 | 2024-10-30 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-10-04 | 2024-10-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-04 | 2024-10-30 |
Showing 50 most recent of 84. See the All Data CSV for the full list.
Penalties (2)
| Date | Type | Fine amount |
|---|---|---|
| 2024-10-04 | Fine | $23,186 |
| 2025-11-25 | Fine | $36,255 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: PROVIDENCE HEALTH & SERVICES
- Chain ID
430- Facilities in chain
- 7
- Legal business name
- PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2007 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2015 |
Owner / manager individuals (23)
| Name | Role | Association |
|---|---|---|
| BLAIR, RICHARD | CORPORATE DIRECTOR | since 07/01/2016 |
| CRAWFORD, ISIAAH | CORPORATE DIRECTOR | since 02/01/2012 |
| HEJNA, DIANE | CORPORATE DIRECTOR | since 07/01/2016 |
| HUGHES, PHYLLIS | CORPORATE DIRECTOR | since 07/01/2016 |
| KINGSTON, MARY BETH | CORPORATE DIRECTOR | since 09/01/2022 |
| LYONS, MARY | CORPORATE DIRECTOR | since 07/01/2016 |
| MARKHAM, DONNA | CORPORATE DIRECTOR | since 01/01/2024 |
| MURPHY, MICHAEL | CORPORATE DIRECTOR | since 01/01/2020 |
| O'QUINN, MARVIN | CORPORATE DIRECTOR | since 01/01/2024 |
| PACINI, CAROL | CORPORATE DIRECTOR | since 01/01/2021 |
| SORENSON, CHARLES | CORPORATE DIRECTOR | since 01/01/2019 |
| SPRUNK, ERIC | CORPORATE DIRECTOR | since 01/01/2022 |
| ANDERSON, DONALD | CORPORATE OFFICER | since 12/20/2016 |
| HOFFMAN, GREGORY | CORPORATE OFFICER | since 10/01/2020 |
| MARTIN, JAMES | CORPORATE OFFICER | since 01/13/2023 |
| NEWSOM, ANNA | CORPORATE OFFICER | since 05/13/2022 |
| WEXLER, ERIK | CORPORATE OFFICER | since 01/01/2023 |
| GOBRIAL, MARK | CONTRACTED MANAGING EMPLOYEE | since 12/01/2022 |
| JONES, CALVIN | W-2 MANAGING EMPLOYEE | since 06/26/2023 |
| REELY, DIANNA | W-2 MANAGING EMPLOYEE | since 11/01/2022 |
| SIKES, NICOLE | W-2 MANAGING EMPLOYEE | since 08/22/2022 |
| WARREN, TERRI | W-2 MANAGING EMPLOYEE | since 11/01/2022 |
| WESTLUND, MALISA | W-2 MANAGING EMPLOYEE | since 03/06/2020 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $84 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.77 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 31.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 32.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,941,938 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,205,289 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 74.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -33.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,649,766 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,197,977 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,026,513 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,623,253 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -30.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.97570 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.95518 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.59765 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.52852 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.95974 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 50.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.97207 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.64185 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.76620 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.38012 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.86061 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 430 | Chain ID |
| Provider Information | Chain Name | PROVIDENCE HEALTH & SERVICES | Chain Name |
| Provider Information | City/Town | NORTH HOLLYWOOD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 055192 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Los Angeles | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1973-06-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 34.1649 | Latitude |
| Provider Information | Legal Business Name | PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA | Legal Business Name |
| Provider Information | Location | 10425 MAGNOLIA BLVD,NORTH HOLLYWOOD,CA,91601 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -118.36 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 52 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 2 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 7 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.55168 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.12633 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 10425 MAGNOLIA BLVD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | PROVIDENCE ST ELIZABETH CARE CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 200 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 344 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 9 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 21 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2026-01-02 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 344 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 29 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 22 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-10-04 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 277 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 13 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 277 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 35 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.69916 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 27 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.78491 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.10690 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.21810 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.13688 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.67801 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.00302 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 8189803872 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 59441.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.35774 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 2 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 28.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 327.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 91601 | ZIP Code |