Country Villa Wilshire Convalescent Center
Country Villa Wilshire Convalescent Center Information
| Facility Name | Country Villa Wilshire Convalescent Center |
| Location | 855 North Fairfax Avenue, Los Angeles, CA 90046 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 323-653-1521 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 81 |
| Average Number of Residents | 70.3 |
| 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 - Limited Liability company |
| Date First Approved | 1973-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.0022 |
| Reported LPN Staffing Hours per Resident per Day | 1.16802 |
| Reported RN Staffing - Hours per Resident per Day | 0.42078 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.5888 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.591 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01015 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.03149 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73431 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.33398 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.09978 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.69341 |
| Total Weighted Health Survey Score for three cycles | 114.667 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-05 |
| Rating cycle 1 - Health Deficiency Score | 22 |
| Rating cycle 1 - Total Health Inspection Score | 144 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-12 |
| Rating cycle 2 - Health Deficiency Score | 144 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-07 |
| Rating cycle 3 - Health Deficiency Score | 112 |
| Rating cycle 3 - Total Health Inspection Score | 112 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 23 |
| Number of Substantiated Complaints | 23 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |