Seal Beach Health And Rehabilitation Center - Seal Beach Nursing Home
General Information
UPDATEFederal Provider Number
56010
Provider Name
SEAL BEACH HEALTH AND REHABILITATION CENTER
Provider Address
3000 N GATE ROAD
SEAL BEACH, CA 90740
SEAL BEACH, CA 90740
Provider Phone Number
5625982477
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
198
Number of Residents in Certified Beds
179
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AG SEAL BEACH, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-12-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.52598
Reported LPN Staffing Hours per Resident per Day
1.10782
Reported RN Staffing Hours per Resident per Day
2.20223
Reported Licensed Staffing Hours per Resident per Day
3.31006
Reported Total Nurse Staffing Hours per Resident per Day
5.83603
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10782
Expected CNA Staffing Hours per Resident per Day
2.47163
Expected LPN Staffing Hours per Resident per Day
0.65288
Expected RN Staffing Hours per Resident per Day
1.10726
Expected Total Nurse Staffing Hours per Resident per Day
4.23177
Adjusted CNA Staffing Hours per Resident per Day
2.50766
Adjusted LPN Staffing Hours per Resident per Day
1.40837
Adjusted RN Staffing Hours per Resident per Day
1.48611
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55901
Cycle 1 Total Number of Health Deficiencies
42
Cycle 1 Number of Standard Health Deficiencies
30
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
272
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
190
Cycle 1 Total Health Score
462
Cycle 2 Total Number of Health Deficiencies
38
Cycle 2 Number of Standard Health Deficiencies
34
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
176
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
311.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
16
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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