Rose Villa Health Care Center
9028 Rose Street, Bellflower, CA 90706


Rose Villa Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056104. The address is 9028 Rose Street, Bellflower, CA 90706. The zip code is 90706. The phone number is 5629254252.


Rose Villa Health Care Center · 9028 Rose Street, Bellflower, CA 90706

Federal Provider Number 056104
Provider Name ROSE VILLA HEALTH CARE CENTER
Address 9028 ROSE STREET
BELLFLOWER, CA 90706
Phone Number 5629254252
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 53
Certified Beds Residents 47
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BELL VILLA CARE ASSOCIATES LLC
Date First Approved to Provide Medicare Medicaid Services 11/01/1971
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.82766
Reported LPN Staffing Hours per Resident per Day 1.27447
Reported RN Staffing Hours per Resident per Day 1.16383
Reported Licensed Staffing Hours per Resident per Day 2.4383
Reported Total Nurse Staffing Hours per Resident per Day 5.26596
Reported Physical Therapist Staffing Hours per Resident Per Day 0.65319
Expected CNA Staffing Hours per Resident per Day 2.46907
Expected LPN Staffing Hours per Resident per Day 0.82879
Expected RN Staffing Hours per Resident per Day 1.5995
Expected Total Nurse Staffing Hours per Resident per Day 4.89735
Adjusted CNA Staffing Hours per Resident per Day 2.81006
Adjusted LPN Staffing Hours per Resident per Day 1.27633
Adjusted RN Staffing Hours per Resident per Day 0.54368
Adjusted Total Nurse Staffing Hours per Resident per Day 4.33429
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 10/14/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 68
Cycle 2 Standard Health Survey Date 08/16/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 68
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 05/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 45.333
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 5
Number of Fines 0
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 08/01/2017

Owner or Manager · Rose Villa Health Care Center

Owner Name Role Association Date
BURNAM, SOON (Individual) OFFICER since 01/30/2006
CHRISTENSEN, CHRISTOPHER (Individual) DIRECTOR since 05/12/2003
ENSIGN GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 01/30/2006
HOWELL, DAVID (Individual) MANAGING EMPLOYEE since 06/05/2013
HOWELL, DAVID (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/05/2013
PORT, BARRY (Individual) OFFICER since 09/18/2012
SNAPPER, SUZANNE (Individual) OFFICER since 01/14/2012
STAPLEY, GREGORY (Individual) OFFICER since 10/29/1999
THE FLAGSTONE GROUP INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/30/2006
WITTEKIND, BEVERLY (Individual) OFFICER since 01/30/2006

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