Country Villa Rehabilitation Center
Country Villa Rehabilitation Center Information
| Facility Name | Country Villa Rehabilitation Center |
| Location | 340 South Alvarado Street, Los Angeles, CA 90057 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 213-484-9730 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 180 |
| Average Number of Residents | 131.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COUNTRY VILLA NURSING CENTER, INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1989-10-02 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.54256 |
| Reported LPN Staffing Hours per Resident per Day | 1.62178 |
| Reported RN Staffing - Hours per Resident per Day | 0.73873 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.36051 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.90307 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.1041 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.27611 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.83402 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.65847 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.7686 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.14793 |
| Total Weighted Health Survey Score for three cycles | 98.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-30 |
| Rating cycle 1 - Health Deficiency Score | 16 |
| Rating cycle 1 - Total Health Inspection Score | 108 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-13 |
| Rating cycle 2 - Health Deficiency Score | 108 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-09 |
| Rating cycle 3 - Health Deficiency Score | 76 |
| Rating cycle 3 - Total Health Inspection Score | 76 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 15 |
| Number of Substantiated Complaints | 15 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |