Villa Elena Healthcare Center
13226 Studebaker Rd, Norwalk, CA 90650


Villa Elena Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056425. The address is 13226 Studebaker Rd, Norwalk, CA 90650. The zip code is 90650. The phone number is 5628680591.


Villa Elena Healthcare Center · 13226 Studebaker Rd, Norwalk, CA 90650

Federal Provider Number 056425
Provider Name VILLA ELENA HEALTHCARE CENTER
Address 13226 STUDEBAKER RD
NORWALK, CA 90650
Phone Number 5628680591
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 99
Certified Beds Residents 81
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VILLA ELENA CONVALESCENT HOSPITAL
Date First Approved to Provide Medicare Medicaid Services 04/05/1974
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 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.30926
Reported LPN Staffing Hours per Resident per Day 0.89753
Reported RN Staffing Hours per Resident per Day 0.35432
Reported Licensed Staffing Hours per Resident per Day 1.25185
Reported Total Nurse Staffing Hours per Resident per Day 3.56111
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07654
Expected CNA Staffing Hours per Resident per Day 2.33442
Expected LPN Staffing Hours per Resident per Day 0.60099
Expected RN Staffing Hours per Resident per Day 1.04562
Expected Total Nurse Staffing Hours per Resident per Day 3.98103
Adjusted CNA Staffing Hours per Resident per Day 2.42726
Adjusted LPN Staffing Hours per Resident per Day 1.23954
Adjusted RN Staffing Hours per Resident per Day 0.2532
Adjusted Total Nurse Staffing Hours per Resident per Day 3.60572
Cycle 1 Total Number of Health Deficiencies 36
Cycle 1 Number of Standard Health Deficiencies 30
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 228
Cycle 1 Standard Survey Health Date 01/27/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 228
Cycle 2 Total Number of Health Deficiencies 25
Cycle 2 Number of Standard Health Deficiencies 19
Cycle 2 Number of Complaint Health Deficiencies 8
Cycle 2 Health Deficiency Score 148
Cycle 2 Standard Health Survey Date 12/07/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 148
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 08/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 174
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 10
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Villa Elena Healthcare Center

Owner Name Role Association Date
GOINGS, ELWIN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/1983
GOINGS, GREGORY (Individual) DIRECTOR since 01/01/2002
GOINGS, GREGORY (Individual) OFFICER since 01/01/2002
GOINGS, VERNA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/1983
JAVIER, JOHN (Individual) MANAGING EMPLOYEE since 01/13/2014
KILIAN, JAMES (Individual) OFFICER since 01/01/1998
LOUPOT, FLOYD (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/1991
VILLA ELENA CONVALESCENT HOSPITAL (Organization) PARTNERSHIP INTEREST since 06/09/2004

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