Contact Information

PROVIDENCE LITTLE COMP OF MARY SUBACUTE CARE CTR
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
1322 WEST SIXTH STREET
SAN PEDRO, CA 90732
(310) 791-4518
Non profit - Church related
Medicare certification date2: March 21, 2008
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

  105 residents

  125 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 None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 105 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 45 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 3 hours, 22 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 33 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 9 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
  • PROVIDENCE HEALTH & SERVICES WASHINGTON
  • PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
  • 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

  • MCMILLER, LA VERNA
  • MOHR, STEVEN
  • WANG, TSUNG-YU

OFFICER

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

OPERATIONAL/MANAGERIAL CONTROL

  • PROVIDENCE HEALTH & SERVICES WASHINGTON
  • PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
  • PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
  • KINGSTON, MARY
  • WEXLER, ERIK


Health & Fire Inspection

Most recent health inspection: Jul 02, 2018; fire safety inspection: Jul 02, 2018

Health Deficiencies as of 07/02/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 07/02/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also