Contact Information

COUNTRY VILLA SOUTH CONV CTR
3515 OVERLAND AVENUE
LOS ANGELES, CA 90034
(310) 839-5201
For profit - Corporation
Medicare certification date2: January 01, 1967
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

  75 residents

  87 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 10
Facility reported incidents 5
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 75 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 19 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 60 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 11 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 11 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

Ownership Data Not Available


Nursing Home Report

In 2016, COUNTRY VILLA SOUTH CONV CTR charged a total of $3,415,162 for 91 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 75.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 23% Alzheimer's 66%
Asthma 52% Cancer 14%
Congestive Heart Failure n/a Kidney Disease n/a
COPD 54% Depression 73%
Diabetes 63% Hyperlipidemia 56%
Hypertension n/a Ischemic Heart Disease n/a
Osteoporosis 12% RA / OA 64%
Schizophrenia 46% Stroke 14%
Demographics
Medicare Beneficiaries 91 Average Age 75
Male 45 Female 46
White 28
Black 45
Asian n/a
Hispanic 16
American Indian n/a
Other 0

Health & Fire Inspection

Most recent health inspection: Sep 30, 2017; fire safety inspection: Oct 01, 2017

Health Deficiencies as of 09/30/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 5
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 2
Nutrition and Dietary Deficiencies 1
Pharmacy Service 2
Environmental Deficiencies 3
Administration Deficiencies None
Fire Deficiencies as of 10/01/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies 1
Corridor Walls and Doors None
Egress Deficiencies 2
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 3
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
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