Country Villa South Conv Ctr
Country Villa South Conv Ctr Information
Facility Name | Country Villa South Conv Ctr |
Location | 3515 Overland Avenue, Los Angeles, CA 90034 |
County (SSA Code) | Los Angeles (200) |
Phone Number | 310-839-5201 |
Certification(s) | Medicare and Medicaid |
Number of Beds | 87 |
Average Number of Residents | 70 |
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 | Legal Business Name Not Available |
Ownership Type | For profit - Partnership |
Date First Approved | 1967-01-01 |
Reported Nurse Aide Staffing Hours per Resident per Day | 2.34523 |
Reported LPN Staffing Hours per Resident per Day | 1.42994 |
Reported RN Staffing - Hours per Resident per Day | 0.57358 |
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.00352 |
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.34876 |
Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02236 |
Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.14346 |
Case-Mix LPN Staffing - Hours per Resident per Day | 0.80778 |
Case-Mix RN Staffing - Hours per Resident per Day | 0.7698 |
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.72104 |
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.72601 |
Total Weighted Health Survey Score for three cycles | 123.333 |
Rating cycle 1 Standard Survey Health Date | 2019-11-09 |
Rating cycle 1 - Health Deficiency Score | 38 |
Rating cycle 1 - Total Health Inspection Score | 76 |
Date of Rating cycle 2 Standard Health Survey Date | 2018-10-22 |
Rating cycle 2 - Health Deficiency Score | 76 |
Date of Rating cycle 3 Standard Health Survey Date | 2017-09-30 |
Rating cycle 3 - Health Deficiency Score | 120 |
Rating cycle 3 - Total Health Inspection Score | 120 |
Number of Facility-Reported Incidents | 12 |
Number of Substantiated Complaints | 22 |
Number of Substantiated Complaints | 22 |
Total Number of Penalties | 0 |
Data Filing Date | 2020-10-01 |
Page Last Updated | 2020-11-28 |