Harbor View Behavioral Health Center - Long Beach Nursing Home

General Information

UPDATE
Federal Provider Number
05A376
Provider Name
HARBOR VIEW BEHAVIORAL HEALTH CENTER
Provider Address
490 W. 14TH STREET
LONG BEACH, CA 90813
Provider Phone Number
(562) 591-8701
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
29
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-10-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3.62241
Reported LPN Staffing Hours per Resident per Day
0.60345
Reported RN Staffing Hours per Resident per Day
1.32069
Reported Licensed Staffing Hours per Resident per Day
1.92414
Reported Total Nurse Staffing Hours per Resident per Day
5.54655
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.21506
Expected LPN Staffing Hours per Resident per Day
0.48481
Expected RN Staffing Hours per Resident per Day
0.48432
Expected Total Nurse Staffing Hours per Resident per Day
2.18420
Adjusted CNA Staffing Hours per Resident per Day
7.31511
Adjusted LPN Staffing Hours per Resident per Day
1.03310
Adjusted RN Staffing Hours per Resident per Day
2.03753
Adjusted Total Nurse Staffing Hours per Resident per Day
10.23607
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2013-11-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-08-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-05-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
5
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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