Colonial Care Center - Long Beach Nursing Home

General Information

UPDATE
Federal Provider Number
56043
Provider Name
COLONIAL CARE CENTER
Provider Address
1913 E 5TH STREET
LONG BEACH, CA 90802
Provider Phone Number
(562) 432-5751
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
196
Number of Residents in Certified Beds
193
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL CARE CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1969-02-27
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.20725
Reported LPN Staffing Hours per Resident per Day
1.23083
Reported RN Staffing Hours per Resident per Day
0.74715
Reported Licensed Staffing Hours per Resident per Day
1.97798
Reported Total Nurse Staffing Hours per Resident per Day
4.18523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08368
Expected CNA Staffing Hours per Resident per Day
2.45610
Expected LPN Staffing Hours per Resident per Day
0.78195
Expected RN Staffing Hours per Resident per Day
1.18356
Expected Total Nurse Staffing Hours per Resident per Day
4.42161
Adjusted CNA Staffing Hours per Resident per Day
2.20509
Adjusted LPN Staffing Hours per Resident per Day
1.30646
Adjusted RN Staffing Hours per Resident per Day
0.47169
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81541
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-06-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
1
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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