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Lake Balboa Care Center


Lake Balboa Care Center Information

     
Facility Name Lake Balboa Care Center
Location 16955 Vanowen Street, Van Nuys, CA 91406
County (SSA Code) Los Angeles (200)
Phone Number 818-343-0700
Certification(s)Medicare and Medicaid
Number of Beds50
Average Number of Residents35.5
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Short Stay Quality Rating
Staff Quality Rating
Registered Nurse Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameLAKE BALBOA HEALTH CARE, INC.
Ownership TypeFor profit - Corporation
Date First Approved1972-05-01

Reported Nurse Aide Staffing Hours per Resident per Day3.48103
Reported LPN Staffing Hours per Resident per Day1.48277
Reported RN Staffing - Hours per Resident per Day1.02837
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)2.51115
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)5.99218
Reported Physical Therapy Staffing - Hours per Resident Per Day0.5694
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.24026
Case-Mix LPN Staffing - Hours per Resident per Day0.86262
Case-Mix RN Staffing - Hours per Resident per Day0.39745
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.50033
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)5.45783

Total Weighted Health Survey Score for three cycles35.333
Rating cycle 1 Standard Survey Health Date2020-02-21
Rating cycle 1 - Health Deficiency Score6
Rating cycle 1 - Total Health Inspection Score36
Date of Rating cycle 2 Standard Health Survey Date2019-02-15
Rating cycle 2 - Health Deficiency Score36
Date of Rating cycle 3 Standard Health Survey Date2018-02-23
Rating cycle 3 - Health Deficiency Score44
Rating cycle 3 - Total Health Inspection Score44

Number of Facility-Reported Incidents0
Number of Substantiated Complaints3
Number of Substantiated Complaints3
Total Number of Penalties0

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