Providence Holy Cross Med Ctr D/p Snf
Providence Holy Cross Med Ctr D/p Snf Information
| Facility Name | Providence Holy Cross Med Ctr D/p Snf |
| Location | 11600a Indian Hills Road, Mission Hills, Ca 91345, Mission Hills, CA 91345 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 818-898-4630 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 48 |
| Average Number of Residents | 41.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Both |
| Provider Business Name | PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1978-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.48999 |
| Reported LPN Staffing Hours per Resident per Day | 1.27096 |
| Reported RN Staffing - Hours per Resident per Day | 3.90003 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 5.171 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 8.66099 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.13414 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.43547 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 1.10757 |
| Case-Mix RN Staffing - Hours per Resident per Day | 1.53722 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.08025 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.43533 |
| Total Weighted Health Survey Score for three cycles | 48.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-29 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-22 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-23 |
| Rating cycle 3 - Health Deficiency Score | 40 |
| Rating cycle 3 - Total Health Inspection Score | 40 |
| Number of Facility-Reported Incidents | 0 |
| 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 |