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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 Beds125
Average Number of Residents105.7
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 InstalledYes
Located In Hospital Yes
Resident Family CouncilResident

Provider Business NamePROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Ownership TypeNon profit - Church related
Date First Approved2008-03-21

Reported Nurse Aide Staffing Hours per Resident per Day3.22795
Reported LPN Staffing Hours per Resident per Day3.47273
Reported RN Staffing - Hours per Resident per Day1.8602
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 Day0.1164
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.45966
Case-Mix LPN Staffing - Hours per Resident per Day1.16107
Case-Mix RN Staffing - Hours per Resident per Day1.37637
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 cycles201.5
Rating cycle 1 Standard Survey Health Date2019-07-05
Rating cycle 1 - Health Deficiency Score15
Rating cycle 1 - Total Health Inspection Score24
Date of Rating cycle 2 Standard Health Survey Date2018-07-02
Rating cycle 2 - Health Deficiency Score24
Date of Rating cycle 3 Standard Health Survey Date2017-07-27
Rating cycle 3 - Health Deficiency Score72
Rating cycle 3 - Total Health Inspection Score72

Number of Facility-Reported Incidents1
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Number of Fines1
Total Amount of Fines (in Dollars)46774
Number of Payment Denials1
Total Number of Penalties2

Data Filing Date2020-10-01
Page Last Updated2020-11-28