Country Villa Terrace Nrsg Ctr
Country Villa Terrace Nrsg Ctr Information
| Facility Name | Country Villa Terrace Nrsg Ctr |
| Location | 6070 W. Pico Boulevard, Los Angeles, CA 90035 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 323-653-3980 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 49 |
| Average Number of Residents | 41.7 |
| 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 | COUNTRY VILLA EAST, L.P. |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1968-07-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.70407 |
| Reported LPN Staffing Hours per Resident per Day | 1.23367 |
| Reported RN Staffing - Hours per Resident per Day | 0.53676 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.77042 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.4745 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.17543 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.04361 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73399 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.44393 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.22152 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.42819 |
| Total Weighted Health Survey Score for three cycles | 42 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-04 |
| Rating cycle 1 - Health Deficiency Score | 10 |
| Rating cycle 1 - Total Health Inspection Score | 32 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-13 |
| Rating cycle 2 - Health Deficiency Score | 32 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-20 |
| Rating cycle 3 - Health Deficiency Score | 44 |
| Rating cycle 3 - Total Health Inspection Score | 44 |
| Number of Facility-Reported Incidents | 3 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |