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INTERCOMMUNITY CARE CENTER

Overall Rating

Address

2626 Grand Avenue

Long Beach, CA 90815

Contact

5624278915

Certification Date

2005-03-27

Details

CMS Certification Number

555823

Ownership Type

Non profit - Corporation

Number of Certified Beds

147

Average Number of Residents per Day

119.2

Provider Type

Medicare and Medicaid

Legal Business Name

INTERCOMMUNITY CARE CENTERS, INC.

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

1

Quality Measure Rating

5

Staffing Rating

2

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.87572

Reported LPN Staffing Hours per Resident per Day

0.95597

Reported RN Staffing Hours per Resident per Day

0.27412

Reported Total Nurse Staffing Hours per Resident per Day

3.10581

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.72752

Registered Nurse Hours per Resident per Day on the Weekend

0.18157

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

262.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

9

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2021-06-15

Total Number of Health Deficiencies

26

Number of Standard Health Deficiencies

23

Number of Complaint Health Deficiencies

3

Health Deficiency Score

152

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

152

Rating Cycle 2

Standard Health Survey Date

2019-04-24

Total Number of Health Deficiencies

33

Number of Standard Health Deficiencies

28

Number of Complaint Health Deficiencies

5

Health Deficiency Score

332

Number of Health Revisits

2

Health Revisit Score

166

Total Health Score

498

Rating Cycle 3

Standard Health Survey Date

2018-04-20

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

13

Number of Complaint Health Deficiencies

0

Health Deficiency Score

120

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

120

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

662.73

Number of Payment Denials

0

Total Number of Penalties

1