Los Angeles, CA

White Memorial Medical Ctr Dp

3-star overall rating with 4-star inspections with 5 recent health deficiencies

1720 Cesar E. Chavez Avenue, Los Angeles, CA

(323) 268-5000

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

27

Certified beds

Average residents

0

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Adventist Health

Operator or chain grouping

Approved since

1988-08-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.79%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 81 · Observed rate 12.35% · Lower 95% interval 7.43%
Discharge to community 68.42%
50.57%
17.9 pts better
Better than the National Rate · Eligible stays 77 · Observed rate 61.04% · Lower 95% interval 56.71%
Medicare spending per beneficiary 0.77
1.02
0.2 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 11 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization 9.03%
7.12%
1.9 pts worse
No Different than the National Rate · Eligible stays 38 · Observed rate 18.42% · Lower 95% interval 5.28%
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-19 · Fire 2024-05-19

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-06-18 · Fire 2023-06-18

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-01-09 · Fire 2020-01-09

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-05-19

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-05-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-13

E · Potential for more than minimal harm 2024-05-19

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-05-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-05-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-12

E · Potential for more than minimal harm 2023-06-18

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2023-07-13

E · Potential for more than minimal harm 2023-06-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-18

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-18

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-18

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-07-13

D · Potential for more than minimal harm 2020-01-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-01-31

D · Potential for more than minimal harm 2020-01-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-31

D · Potential for more than minimal harm 2020-01-09

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-01-31

D · Potential for more than minimal harm 2020-01-09

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-01-31

B · Minimal harm 2020-01-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2020-01-31

Penalties and ownership

What sits behind the stars

Ownership

Adventist Health System/West

Operational/Managerial Control · Organization

0% 4 facilities 1980-06-16
Beckett, Ann

Corporate Director · Individual

0% 1 facilities 2024-01-01
Cherry, Robert

Corporate Director · Individual

0% 3 facilities 2017-05-05
Daggett, Jonathan

Corporate Director · Individual

0% 1 facilities 2024-01-01
Davis, Andrew

Corporate Director · Individual

0% 3 facilities 2017-05-05
Fehr, Joy

Corporate Director · Individual

0% 2 facilities 2020-10-01
Freedman, John

Corporate Director · Individual

0% 4 facilities 2016-09-26
Heinrich, Kerry

Corporate Director · Individual

0% 4 facilities 2015-06-01
Hofheins, Todd

Corporate Director · Individual

0% 2 facilities 2022-01-24
Innocent, Larry

Corporate Director · Individual

0% 5 facilities 2011-09-09
Jobe, Meredith

Corporate Officer · Individual

0% 4 facilities 2014-03-31
Jutzy, Kenneth

Corporate Director · Individual

0% 1 facilities 2024-01-01
Newton, Bradford

Corporate Director · Individual

0% 2 facilities 2021-08-16
Owens, Francis

Corporate Officer · Individual

0% 1 facilities 2022-09-15
Owens, Francis

W-2 Managing Employee · Individual

0% 1 facilities 2022-09-15
Raffoul, John

Corporate Officer · Individual

0% 1 facilities 1997-06-29
Raffoul, John

W-2 Managing Employee · Individual

0% 1 facilities 2010-06-08
Reiner, Richard

Corporate Director · Individual

0% 5 facilities 2017-01-16
Salazar, Velino

Corporate Director · Individual

0% 4 facilities 2015-09-15
Wagner, Jack

Corporate Director · Individual

0% 3 facilities 2022-12-01
Woodson, Marc

Corporate Director · Individual

0% 2 facilities 2019-01-01

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