Seaport 17th Care Center - Santa Monica Nursing Home
General Information
UPDATEFederal Provider Number
55155
Provider Name
SEAPORT 17TH CARE CENTER
Provider Address
1330 17TH STREET
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
Provider Phone Number
(310) 829-5411
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
72
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SEAPORT CARE CENTER LP
Date First Approved to Provide Medicare and Medicaid services
1979-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.44457
Reported LPN Staffing Hours per Resident per Day
1.37935
Reported RN Staffing Hours per Resident per Day
0.74348
Reported Licensed Staffing Hours per Resident per Day
2.12283
Reported Total Nurse Staffing Hours per Resident per Day
5.56740
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39565
Expected CNA Staffing Hours per Resident per Day
2.44655
Expected LPN Staffing Hours per Resident per Day
0.66914
Expected RN Staffing Hours per Resident per Day
1.15142
Expected Total Nurse Staffing Hours per Resident per Day
4.26711
Adjusted CNA Staffing Hours per Resident per Day
3.45463
Adjusted LPN Staffing Hours per Resident per Day
1.71095
Adjusted RN Staffing Hours per Resident per Day
0.48247
Adjusted Total Nurse Staffing Hours per Resident per Day
5.25921
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-09-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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