Santa Fe Convalescent Hospital - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
55123
Provider Name
SANTA FE CONVALESCENT HOSPITAL
Provider Address
3294 SANTA FE AVENUE
LONG BEACH, CA 90810
LONG BEACH, CA 90810
Provider Phone Number
(562) 424-0757
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANTA FE CONVALESCENT HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1968-03-31
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
2
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
2.72289
Reported LPN Staffing Hours per Resident per Day
0.90482
Reported RN Staffing Hours per Resident per Day
0.72470
Reported Licensed Staffing Hours per Resident per Day
1.62952
Reported Total Nurse Staffing Hours per Resident per Day
4.35241
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03434
Expected CNA Staffing Hours per Resident per Day
2.22654
Expected LPN Staffing Hours per Resident per Day
0.60538
Expected RN Staffing Hours per Resident per Day
1.00451
Expected Total Nurse Staffing Hours per Resident per Day
3.83643
Adjusted CNA Staffing Hours per Resident per Day
3.00069
Adjusted LPN Staffing Hours per Resident per Day
1.24055
Adjusted RN Staffing Hours per Resident per Day
0.53906
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57304
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-15
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
59.33300
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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