COUNTRY VILLA WILSHIRE - LOS ANGELES, CA

United States hospital / nursing home:
COUNTRY VILLA WILSHIRE - LOS ANGELES, CA

COUNTRY VILLA WILSHIRE
855 NORTH FAIRFAX AVENUE
LOS ANGELES, CA 90046


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by COUNTRY VILLA WILSHIRE:

  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided onsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided offsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Therapeutic recreation specialist services are provided onsite to residents
  • Diagnostic xray services are provided onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 81

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 81

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 9.80

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.27

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Prior change of ownership (The date of a prior change of ownership): Oct 1984

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.43

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 81

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 36.24

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.03

Dentists - Full time (The number of full-time equivalent dentists employed by a facility on a full time basis): 0.14

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7.74

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.29

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 8.73

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.57

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.14

Mental health services - Full time (The number of full-time equivalent mental health services personnel employed by a facility on a full time basis): 0.17

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): COUNTY VILLA HEALTHCARE

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 2.29

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.74

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 6.11

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.46

Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.46

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 2.29

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.09

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.57

Rn director of nursing - Full time (The number of full-time equivalent rn director of nursing employed by a facility on a full time basis): 2.29

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.16

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.34

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.11

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Feb 2002

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Oct 1973