Providence Little Comp Of Mary Subacute Care Ctr
Providence Little Comp Of Mary Subacute Care Ctr Information
| Facility Name | Providence Little Comp Of Mary Subacute Care Ctr |
| Location | 1322 West Sixth Street, San Pedro, CA 90732 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 310-791-4518 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 125 |
| Average Number of Residents | 105.7 |
| 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 | Resident |
| Provider Business Name | PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA |
| Ownership Type | Non profit - Church related |
| Date First Approved | 2008-03-21 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.22795 |
| Reported LPN Staffing Hours per Resident per Day | 3.47273 |
| Reported RN Staffing - Hours per Resident per Day | 1.8602 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 5.33293 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 8.56088 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.1164 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.45966 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 1.16107 |
| Case-Mix RN Staffing - Hours per Resident per Day | 1.37637 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.99709 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.46192 |
| Total Weighted Health Survey Score for three cycles | 201.5 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-05 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-02 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-27 |
| Rating cycle 3 - Health Deficiency Score | 72 |
| Rating cycle 3 - Total Health Inspection Score | 72 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 46774 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |