Windsor Gardens Conv Long Beac - Long Beach Nursing Home
General Information
UPDATEFederal Provider Number
555375
Provider Name
WINDSOR GARDENS CONV LONG BEAC
Provider Address
3232 E. ARTESIA BLVD.
LONG BEACH, CA 90805
LONG BEACH, CA 90805
Provider Phone Number
(562) 422-9219
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
199
Number of Residents in Certified Beds
194
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-15
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.49227
Reported LPN Staffing Hours per Resident per Day
0.94665
Reported RN Staffing Hours per Resident per Day
0.67680
Reported Licensed Staffing Hours per Resident per Day
1.62345
Reported Total Nurse Staffing Hours per Resident per Day
4.11572
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09871
Expected CNA Staffing Hours per Resident per Day
2.57004
Expected LPN Staffing Hours per Resident per Day
0.71568
Expected RN Staffing Hours per Resident per Day
1.11419
Expected Total Nurse Staffing Hours per Resident per Day
4.39991
Adjusted CNA Staffing Hours per Resident per Day
2.37945
Adjusted LPN Staffing Hours per Resident per Day
1.09787
Adjusted RN Staffing Hours per Resident per Day
0.45388
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77055
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
322
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
322
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-02-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-11-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
184.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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