Windsor Convalescent Center Of North Long Beach - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
55995
Provider Name
WINDSOR CONVALESCENT CENTER OF NORTH LONG BEACH
Provider Address
260 E MARKET ST
LONG BEACH, CA 90805
LONG BEACH, CA 90805
Provider Phone Number
(562) 428-4681
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
S&F MARKET STREET HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1970-08-27
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.36974
Reported LPN Staffing Hours per Resident per Day
0.82237
Reported RN Staffing Hours per Resident per Day
0.53509
Reported Licensed Staffing Hours per Resident per Day
1.35746
Reported Total Nurse Staffing Hours per Resident per Day
3.72720
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11754
Expected CNA Staffing Hours per Resident per Day
2.21977
Expected LPN Staffing Hours per Resident per Day
0.58177
Expected RN Staffing Hours per Resident per Day
0.95845
Expected Total Nurse Staffing Hours per Resident per Day
3.75998
Adjusted CNA Staffing Hours per Resident per Day
2.61947
Adjusted LPN Staffing Hours per Resident per Day
1.17326
Adjusted RN Staffing Hours per Resident per Day
0.41715
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99575
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-12-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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