Shoreline Healthcare Center - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
55353
Provider Name
SHORELINE HEALTHCARE CENTER
Provider Address
4029 EAST ANAHEIM STREET
LONG BEACH, CA 90804
LONG BEACH, CA 90804
Provider Phone Number
(562) 494-4421
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROSE PARK HEALTHCARE ASSOCIATES,INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
2.81866
Reported LPN Staffing Hours per Resident per Day
1.05597
Reported RN Staffing Hours per Resident per Day
1.46493
Reported Licensed Staffing Hours per Resident per Day
2.52090
Reported Total Nurse Staffing Hours per Resident per Day
5.33956
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25597
Expected CNA Staffing Hours per Resident per Day
2.53206
Expected LPN Staffing Hours per Resident per Day
0.69811
Expected RN Staffing Hours per Resident per Day
1.14006
Expected Total Nurse Staffing Hours per Resident per Day
4.37023
Adjusted CNA Staffing Hours per Resident per Day
2.73143
Adjusted LPN Staffing Hours per Resident per Day
1.25546
Adjusted RN Staffing Hours per Resident per Day
0.96012
Adjusted Total Nurse Staffing Hours per Resident per Day
4.92496
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-04
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
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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