Country Manor Healthcare
Country Manor Healthcare Information
| Facility Name | Country Manor Healthcare |
| Location | 11723 Fenton Avenue, Lake View Terrace, CA 91342 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 818-899-0251 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 99 |
| Average Number of Residents | 83.7 |
| 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 | Both |
| Provider Business Name | CANYON PROPERTIES III, LLC |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1968-09-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.77576 |
| Reported LPN Staffing Hours per Resident per Day | 0.78257 |
| Reported RN Staffing - Hours per Resident per Day | 0.57228 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.35485 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.13061 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0667 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.75408 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.6137 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.2653 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.63308 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.00143 |
| Total Weighted Health Survey Score for three cycles | 55.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-17 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 68 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-19 |
| Rating cycle 2 - Health Deficiency Score | 68 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-19 |
| Rating cycle 3 - Health Deficiency Score | 52 |
| Rating cycle 3 - Total Health Inspection Score | 52 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |