Sylmar Hlth Rehab Ctr
12220 Foothill Blvd., Sylmar, CA 91342


Sylmar Hlth Rehab Ctr is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 05A397. The address is 12220 Foothill Blvd., Sylmar, CA 91342. The zip code is 91342. The phone number is 8188345082.


Sylmar Hlth Rehab Ctr · 12220 Foothill Blvd., Sylmar, CA 91342

Federal Provider Number 05A397
Provider Name SYLMAR HLTH REHAB CTR
Address 12220 FOOTHILL BLVD.
SYLMAR, CA 91342
Phone Number 8188345082
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 208
Certified Beds Residents 199
Provider Type Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 01/04/1993
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating Footnote Rating Not Displayed
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating Footnote Rating Not Displayed
RN Staffing Rating Footnote Rating Not Displayed
Reported CNA Staffing Hours per Resident per Day 2.16508
Reported LPN Staffing Hours per Resident per Day 0.64397
Reported RN Staffing Hours per Resident per Day 0.24171
Reported Licensed Staffing Hours per Resident per Day 0.88568
Reported Total Nurse Staffing Hours per Resident per Day 3.05076
Expected CNA Staffing Hours per Resident per Day 1.2875
Expected LPN Staffing Hours per Resident per Day 0.44459
Expected RN Staffing Hours per Resident per Day 0.60879
Expected Total Nurse Staffing Hours per Resident per Day 2.34088
Adjusted CNA Staffing Hours per Resident per Day 4.12617
Adjusted LPN Staffing Hours per Resident per Day 1.20223
Adjusted RN Staffing Hours per Resident per Day 0.29666
Adjusted Total Nurse Staffing Hours per Resident per Day 5.25328
Cycle 1 Total Number of Health Deficiencies 28
Cycle 1 Number of Standard Health Deficiencies 26
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 212
Cycle 1 Standard Survey Health Date 02/07/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 212
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Health Deficiency Score 92
Cycle 2 Standard Health Survey Date 10/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 92
Cycle 3 Total Number of Health Deficiencies 17
Cycle 3 Number of Standard Health Deficiencies 15
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 124
Cycle 3 Standard Health Survey Date 07/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 124
Total Weighted Health Survey Score 157.333
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Sylmar Hlth Rehab Ctr

Owner Name Role Association Date
() Ownership Data Not Available

91342 · Nursing Home

Maclay Healthcare Center 12831 Maclay Street, Sylmar, CA 91342
Country Manor Healthcare 11723 Fenton Avenue, Lake View Terrace, CA 91342
The Grove Post-acute Care Center 14122 Hubbard Street, Sylmar, CA 91342
San Fernando Post Acute Hospital 12260 Foothill Blvd, Sylmar, CA 91342
Astoria Nursing and Rehab Center 14040 Astoria Street, Sylmar, CA 91342
Mountain View Conv Hosp 13333 Fenton Avenue, Sylmar, CA 91342

Sylmar · Nursing Home

San Fernando Post Acute Hospital 12260 Foothill Blvd, Sylmar, CA 91342
The Grove Post-acute Care Center 14122 Hubbard Street, Sylmar, CA 91342
Astoria Nursing and Rehab Center 14040 Astoria Street, Sylmar, CA 91342
Maclay Healthcare Center 12831 Maclay Street, Sylmar, CA 91342
Mountain View Conv Hosp 13333 Fenton Avenue, Sylmar, CA 91342

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