Villa Maria Care Center - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
55329
Provider Name
VILLA MARIA CARE CENTER
Provider Address
723 E 9TH STREET
LONG BEACH, CA 90813
LONG BEACH, CA 90813
Provider Phone Number
(562) 437-2797
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1969-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72647
Reported LPN Staffing Hours per Resident per Day
1.34412
Reported RN Staffing Hours per Resident per Day
0.30000
Reported Licensed Staffing Hours per Resident per Day
1.64412
Reported Total Nurse Staffing Hours per Resident per Day
4.37059
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13235
Expected CNA Staffing Hours per Resident per Day
2.39225
Expected LPN Staffing Hours per Resident per Day
0.65987
Expected RN Staffing Hours per Resident per Day
1.02056
Expected Total Nurse Staffing Hours per Resident per Day
4.07268
Adjusted CNA Staffing Hours per Resident per Day
2.79651
Adjusted LPN Staffing Hours per Resident per Day
1.69066
Adjusted RN Staffing Hours per Resident per Day
0.21964
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32575
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-01-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2011-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
140
Total Weighted Health Survey Score
67.33300
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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