Vista Del Sol Care Center
11620 Washington Blvd, Los Angeles, CA 90066


Vista Del Sol Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555849. The address is 11620 Washington Blvd, Los Angeles, CA 90066. The zip code is 90066. The phone number is 3103909045.


Vista Del Sol Care Center · 11620 Washington Blvd, Los Angeles, CA 90066

Federal Provider Number 555849
Provider Name VISTA DEL SOL CARE CENTER
Address 11620 WASHINGTON BLVD
LOS ANGELES, CA 90066
Phone Number 3103909045
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Partnership
Certified Beds 50
Certified Beds Residents 38
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VISTA DEL SOL LTC INC
Date First Approved to Provide Medicare Medicaid Services 04/28/2008
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 Footnote Rating Not Displayed
Health Inspection Rating 2
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 3.11316
Reported LPN Staffing Hours per Resident per Day 1.11316
Reported RN Staffing Hours per Resident per Day 0.65395
Reported Licensed Staffing Hours per Resident per Day 1.76711
Reported Total Nurse Staffing Hours per Resident per Day 4.88027
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01447
Expected CNA Staffing Hours per Resident per Day 2.30184
Expected LPN Staffing Hours per Resident per Day 0.5301
Expected RN Staffing Hours per Resident per Day 0.85073
Expected Total Nurse Staffing Hours per Resident per Day 3.68267
Adjusted CNA Staffing Hours per Resident per Day 3.31855
Adjusted LPN Staffing Hours per Resident per Day 1.74292
Adjusted RN Staffing Hours per Resident per Day 0.57436
Adjusted Total Nurse Staffing Hours per Resident per Day 5.34174
Cycle 1 Total Number of Health Deficiencies 21
Cycle 1 Number of Standard Health Deficiencies 21
Cycle 1 Health Deficiency Score 136
Cycle 1 Standard Survey Health Date 10/18/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 136
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 12
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 08/23/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 05/18/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 91.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Vista Del Sol Care Center

Owner Name Role Association Date
JACOBS, DOV (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/07/2015
JACOBS, DOV (Individual) DIRECTOR since 04/07/2015
VALDIVIA, ROSA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2015

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