Country Villa Belmont Heights - Long Beach Nursing Home

General Information

UPDATE
Federal Provider Number
55077
Provider Name
COUNTRY VILLA BELMONT HEIGHTS
Provider Address
1730 GRAND AVE
LONG BEACH, CA 90804
Provider Phone Number
(562) 597-8817
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
104
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRY VILLA SOUTH BAY, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-10-09
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
2
QM Rating Footnote
Staffing Rating
4
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
2.74167
Reported LPN Staffing Hours per Resident per Day
1.52865
Reported RN Staffing Hours per Resident per Day
0.78333
Reported Licensed Staffing Hours per Resident per Day
2.31198
Reported Total Nurse Staffing Hours per Resident per Day
5.05365
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05052
Expected CNA Staffing Hours per Resident per Day
2.63756
Expected LPN Staffing Hours per Resident per Day
0.77798
Expected RN Staffing Hours per Resident per Day
1.19171
Expected Total Nurse Staffing Hours per Resident per Day
4.60724
Adjusted CNA Staffing Hours per Resident per Day
2.55055
Adjusted LPN Staffing Hours per Resident per Day
1.63087
Adjusted RN Staffing Hours per Resident per Day
0.49115
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42146
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-10-24
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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
Reviews: Be the first to review this provider.

Share your experience with Country Villa Belmont Heights. You can help others by writing a review.


Ask the Community

Connect, Seek Advice, Share Knowledge

Nursiong Homes Nearby

Regency Oaks Post Acute Care Center

3850 E. Esther St. | LONG BEACH CA 90804 | 0.1 mile away

Marlora Post Acute Rehab Hosp

3801 E Anaheim St | LONG BEACH CA 90804 | 0.4 mile away

Shoreline Healthcare Center

4029 East Anaheim Street | LONG BEACH CA 90804 | 0.4 mile away

Pacific Palms Healthcare

1020 Termino Avenue | LONG BEACH CA 90804 | 0.6 mile away

Courtyard Care Center

1880 Dawson Avenue | SIGNAL HILL CA 90806 | 1 mile away

Alamitos Belmont Rehab Hospita

3901 E Fourth Street | LONG BEACH CA 90814 | 1.1 miles away

Intercommunity Care Center

2626 Grand Avenue | LONG BEACH CA 90815 | 1.2 miles away

Long Beach Care Center, Inc

2615 Grand Avenue | LONG BEACH CA 90815 | 1.2 miles away

Edgewater Skilled Nursing Center

2625 East Fourth Street | LONG BEACH CA 90814 | 1.3 miles away

Long Beach Post Acute

1201 Walnut Avenue | LONG BEACH CA 90813 | 1.5 miles away

Colonial Care Center

1913 E 5th Street | LONG BEACH CA 90802 | 1.6 miles away

Broadway By The Sea

2725 E. Broadway | LONG BEACH CA 90803 | 1.7 miles away

Villa Maria Care Center

723 E 9th Street | LONG BEACH CA 90813 | 2.2 miles away

Atlantic Memorial Healthcare Center

2750 Atlantic Ave. | LONG BEACH CA 90806 | 2.5 miles away

Harbor View Behavioral Health Center

490 W. 14th Street | LONG BEACH CA 90813 | 2.9 miles away