Contact Information

PROVIDENCE ST ELIZABETH CARE CENTER
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
10425 MAGNOLIA BLVD
NORTH HOLLYWOOD, CA 91601
(818) 980-3872
Non profit - Church related
Medicare certification date2: June 01, 1973
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  37 residents

  52 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 1
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 37 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 9 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 5 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 49 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 2 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • PROVIDENCE HEALTH & SERVICES WASHINGTON
  • PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • PROVIDENCE HEALTH & SERVICES
  • PROVIDENCE ST. JOSEPH HEALTH

DIRECTOR

  • ALLEN, DICK
  • BLAIR, RICHARD
  • CRAWFORD, ISIAAH
  • DEAN, LUCILLE
  • HEJNA, DIANE
  • HOLCOMB, MICHAEL
  • HUGHES, PHYLLIS
  • LINER, SALLYE
  • LYONS, MARY
  • NOCE, WALTER
  • OLSEN, DAVID
  • REYES, CAROLYN
  • YANG, PHOEBE

MANAGING EMPLOYEE

  • BALES, GLENN
  • MIELE, CHRISTINA
  • MOHR, STEVEN

OFFICER

  • ANDERSON, DONALD
  • BHAMIDIPATI, VENKAT
  • BUTLER, MICHAEL
  • ESCASA-HAIGH, JO ANN
  • STRAUSS, CYNTHIA

OPERATIONAL/MANAGERIAL CONTROL

  • WEXLER, ERIK

Nursing Home Report

In 2016, PROVIDENCE ST ELIZABETH CARE CENTER charged a total of $1,539,340 for 74 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 86.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 27% Alzheimer's 49%
Asthma 28% Cancer 15%
Congestive Heart Failure 45% Kidney Disease 49%
COPD 27% Depression 39%
Diabetes 26% Hyperlipidemia 61%
Hypertension n/a Ischemic Heart Disease 53%
Osteoporosis 20% RA / OA n/a
Schizophrenia 4% Stroke 15%
Demographics
Medicare Beneficiaries 74 Average Age 86
Male 24 Female 50
White 64
Black n/a
Asian n/a
Hispanic n/a
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: May 18, 2018; fire safety inspection: May 16, 2018

Health Deficiencies as of 05/18/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 2
Nursing and Physician Services 1
Resident Rights 2
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 05/16/2018
Emergency Preparedness 3
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 1
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 2
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also