Catered Manor Nursing Center - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
56150
Provider Name
CATERED MANOR NURSING CENTER
Provider Address
4010 VIRGINIA RD.
LONG BEACH, CA 90807
LONG BEACH, CA 90807
Provider Phone Number
(562) 426-0394
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE LONG BEACH, INC.
Date First Approved to Provide Medicare and Medicaid services
1970-01-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.26644
Reported LPN Staffing Hours per Resident per Day
0.88014
Reported RN Staffing Hours per Resident per Day
0.71575
Reported Licensed Staffing Hours per Resident per Day
1.59589
Reported Total Nurse Staffing Hours per Resident per Day
3.86233
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09110
Expected CNA Staffing Hours per Resident per Day
2.63345
Expected LPN Staffing Hours per Resident per Day
0.68972
Expected RN Staffing Hours per Resident per Day
1.23700
Expected Total Nurse Staffing Hours per Resident per Day
4.56016
Adjusted CNA Staffing Hours per Resident per Day
2.11174
Adjusted LPN Staffing Hours per Resident per Day
1.05915
Adjusted RN Staffing Hours per Resident per Day
0.43234
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41406
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-02-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-11-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-05-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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