Pacific Palms Healthcare - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
56164
Provider Name
PACIFIC PALMS HEALTHCARE
Provider Address
1020 TERMINO AVENUE
LONG BEACH, CA 90804
LONG BEACH, CA 90804
Provider Phone Number
(562) 433-6791
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PACIFIC PALMS HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-03-06
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67284
Reported LPN Staffing Hours per Resident per Day
1.02716
Reported RN Staffing Hours per Resident per Day
0.93272
Reported Licensed Staffing Hours per Resident per Day
1.95988
Reported Total Nurse Staffing Hours per Resident per Day
4.63272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07037
Expected CNA Staffing Hours per Resident per Day
2.63280
Expected LPN Staffing Hours per Resident per Day
0.66939
Expected RN Staffing Hours per Resident per Day
1.08185
Expected Total Nurse Staffing Hours per Resident per Day
4.38404
Adjusted CNA Staffing Hours per Resident per Day
2.49101
Adjusted LPN Staffing Hours per Resident per Day
1.27362
Adjusted RN Staffing Hours per Resident per Day
0.64420
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25954
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
64
Cycle 3 Standard Health Survey Date
2012-04-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
49.33300
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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