Broadway By The Sea - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
55894
Provider Name
BROADWAY BY THE SEA
Provider Address
2725 E. BROADWAY
LONG BEACH, CA 90803
LONG BEACH, CA 90803
Provider Phone Number
(562) 434-4494
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HACIENDA C H INC
Date First Approved to Provide Medicare and Medicaid services
1968-02-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.92931
Reported LPN Staffing Hours per Resident per Day
1.08966
Reported RN Staffing Hours per Resident per Day
3.64885
Reported Licensed Staffing Hours per Resident per Day
4.73851
Reported Total Nurse Staffing Hours per Resident per Day
7.66782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21207
Expected CNA Staffing Hours per Resident per Day
2.64311
Expected LPN Staffing Hours per Resident per Day
0.70868
Expected RN Staffing Hours per Resident per Day
1.17465
Expected Total Nurse Staffing Hours per Resident per Day
4.52645
Adjusted CNA Staffing Hours per Resident per Day
2.71939
Adjusted LPN Staffing Hours per Resident per Day
1.27619
Adjusted RN Staffing Hours per Resident per Day
2.32105
Adjusted Total Nurse Staffing Hours per Resident per Day
6.82836
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
33.33300
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
Location
Processing Date
2015-06-01
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