| Country Villa Wilshire Convalescent Center | |
| 855 North Fairfax Avenue, Los Angeles, California 90046 | |
| (323) 653-1521 | |
| Name | Country Villa Wilshire Convalescent Center |
|---|---|
| Location | 855 North Fairfax Avenue, Los Angeles, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 81 |
| Occupancy Rate | 80.62% |
| Medicare ID (CCN) | 055710 |
| Legal Business Name | Legal Business Name Not Available |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1437424215 |
| Organization Name | WILSHIRE HEALTHCARE CENTER LLC |
| Doing Business As | COUNTRY VILLA WILSHIRE HEALTHCARE CENTER |
| Address | 855 N Fairfax Ave, Los Angeles, CA 90046 |
| Phone Number | 323-596-2145 |
| NPI Number | 1548660350 |
| Organization Name | WEST HOLLYWOOD HEALTHCARE & WELLNESS CENTRE, LP |
| Address | 855 N Fairfax Ave, Los Angeles, CA 90046 |
| Phone Number | 323-653-1521 |
| NPI Number | 1578557526 |
| Organization Name | RRT ENTERPRISES LP |
| Doing Business As | COUNTRY VILLA WILSHIRE HEALTHCARE CENTER |
| Address | 855 N Fairfax Ave, Los Angeles, CA 90046 |
| Phone Number | 323-653-1521 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Number of Facility Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Experience Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 0 | 14.46 |
| Percentage of long-stay residents who lose too much weight | 10.31 | 5.51 |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder | 20.93 | 48.41 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.86 | 1.79 |
| Percentage of long-stay residents with a urinary tract infection | 0.51 | 2.65 |
| Percentage of long-stay residents who have depressive symptoms | 31.86 | 5.05 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.23 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.22 | 3.36 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.87 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.07 | 14.2 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.44 | 83.88 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.12 | 1.79 |
| Percentage of long-stay residents whose ability to move independently worsened | 5.11 | 17.09 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.09 | 19.7 |
| Percentage of high risk long-stay residents with pressure ulcers | 3.03 | 7.32 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.98 |
| Percentage of short-stay residents who made improvements in function | 66.91 | 67.99 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.49 | 82.93 |
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