Providence St Elizabeth Care Center
Providence St Elizabeth Care Center Information
| Facility Name | Providence St Elizabeth Care Center |
| Location | 10425 Magnolia Blvd, North Hollywood, CA 91601 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 818-980-3872 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 52 |
| Average Number of Residents | 34.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1973-06-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.77753 |
| Reported LPN Staffing Hours per Resident per Day | 0.83296 |
| Reported RN Staffing - Hours per Resident per Day | 0.50536 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.33832 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.11584 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.13148 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.03419 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.70011 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32231 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05662 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.293 |
| Total Weighted Health Survey Score for three cycles | 25.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-29 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-18 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-14 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |