Overall Rating
SFF Candidate
Address
1730 Grand Ave
Long Beach, CA 90804
Contact
5625978817
Certification Date
1985-10-09
CMS Certification Number
055077
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Average Number of Residents per Day
100.4
Provider Type
Medicare and Medicaid
Legal Business Name
Legal Business Name Not Available
Affiliated Entity Name
COUNTRY VILLA HEALTH SERVICES
Affiliated Entity ID
165
Health Inspection Rating
1
Quality Measure Rating
5
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.61606
Reported LPN Staffing Hours per Resident per Day
1.60505
Reported RN Staffing Hours per Resident per Day
0.47408
Reported Total Nurse Staffing Hours per Resident per Day
4.69519
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.12509
Registered Nurse Hours per Resident per Day on the Weekend
0.33189
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02998
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
548.000
Number of Facility Reported Incidents
44
Number of Substantiated Complaints
34
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2021-07-13
Total Number of Health Deficiencies
38
Number of Standard Health Deficiencies
21
Number of Complaint Health Deficiencies
18
Health Deficiency Score
466
Number of Health Revisits
2
Health Revisit Score
233
Total Health Score
699
Standard Health Survey Date
2019-03-21
Total Number of Health Deficiencies
30
Number of Standard Health Deficiencies
19
Number of Complaint Health Deficiencies
11
Health Deficiency Score
273
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
273
Standard Health Survey Date
2018-04-02
Total Number of Health Deficiencies
38
Number of Standard Health Deficiencies
13
Number of Complaint Health Deficiencies
25
Health Deficiency Score
645
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
645
Number of Fines
4
Total Amount of Fines in Dollars
167113.85
Number of Payment Denials
1
Total Number of Penalties
5