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