IMPERIAL CONVALESCENT HOSPITAL - LA MIRADA, CA

United States hospital / nursing home:
IMPERIAL CONVALESCENT HOSPITAL - LA MIRADA, CA

IMPERIAL CONVALESCENT HOSPITAL
11926 LA MIRADA BLVD
LA MIRADA, CA 90638


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

Services provided by IMPERIAL CONVALESCENT HOSPITAL:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided onsite 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 onsite to residents
  • Physical therapy services are provided onsite 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
  • 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): 99

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 99

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 12.23

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.60

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 5

Current fms survey date (Current fms survey date): May 2002

Prior change of ownership (The date of a prior change of ownership): Jun 1989

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): 1.26

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 4.34

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 99

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 38.23

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.27

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01

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): 9.73

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.43

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.74

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.36

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.36

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.01

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.06

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): LIFE CARE CENTERS OF AMERICA, INC.

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

Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 0.87

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): 1.21

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 2

Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.34

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 activities staff-Full time (Number of full-time staff hours for other activities): 2.51

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.03

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.23

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

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.13

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.19

Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.27

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.04

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.40

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): 1.24

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.26

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.27

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

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): Jun 2002

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