Overall Rating
Address
3501 Cedar Avenue
Long Beach, CA 90807
Contact
5625951731
Certification Date
1972-03-13
CMS Certification Number
056313
Ownership Type
For profit - Individual
Number of Certified Beds
88
Average Number of Residents per Day
86.4
Provider Type
Medicare and Medicaid
Legal Business Name
PACIFIC VILLA INC
Affiliated Entity Name
ROLLINS-NELSON HEALTHCARE MANAGEMENT
Affiliated Entity ID
456
Health Inspection Rating
2
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.33296
Reported LPN Staffing Hours per Resident per Day
0.78893
Reported RN Staffing Hours per Resident per Day
0.39033
Reported Total Nurse Staffing Hours per Resident per Day
3.51221
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.33822
Registered Nurse Hours per Resident per Day on the Weekend
0.31024
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06948
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
140.667
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
8
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2024-01-05
Total Number of Health Deficiencies
27
Number of Standard Health Deficiencies
20
Number of Complaint Health Deficiencies
11
Health Deficiency Score
164
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
164
Standard Health Survey Date
2023-02-16
Total Number of Health Deficiencies
25
Number of Standard Health Deficiencies
24
Number of Complaint Health Deficiencies
1
Health Deficiency Score
132
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
132
Standard Health Survey Date
2019-11-15
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
1
Health Deficiency Score
88
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
88
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0