Edgewater Skilled Nursing Center - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
55387
Provider Name
EDGEWATER SKILLED NURSING CENTER
Provider Address
2625 EAST FOURTH STREET
LONG BEACH, CA 90814
LONG BEACH, CA 90814
Provider Phone Number
(562) 434-0974
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDGEWATER HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-12-01
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
3
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
3.46786
Reported LPN Staffing Hours per Resident per Day
1.04286
Reported RN Staffing Hours per Resident per Day
1.26429
Reported Licensed Staffing Hours per Resident per Day
2.30714
Reported Total Nurse Staffing Hours per Resident per Day
5.77501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33786
Expected CNA Staffing Hours per Resident per Day
2.83889
Expected LPN Staffing Hours per Resident per Day
0.78282
Expected RN Staffing Hours per Resident per Day
1.28728
Expected Total Nurse Staffing Hours per Resident per Day
4.90899
Adjusted CNA Staffing Hours per Resident per Day
2.99732
Adjusted LPN Staffing Hours per Resident per Day
1.10572
Adjusted RN Staffing Hours per Resident per Day
0.73386
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74201
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2013-07-22
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-04-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2011-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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