Edgewater Skilled Nursing Center
2625 East Fourth Street, Long Beach, CA 90814


Edgewater Skilled Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055387. The address is 2625 East Fourth Street, Long Beach, CA 90814. The zip code is 90814. The phone number is 5624340974.


Edgewater Skilled Nursing Center · 2625 East Fourth Street, Long Beach, CA 90814

Federal Provider Number 055387
Provider Name EDGEWATER SKILLED NURSING CENTER
Address 2625 EAST FOURTH STREET
LONG BEACH, CA 90814
Phone Number 5624340974
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 81
Certified Beds Residents 73
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EDGEWATER HEALTH CARE, INC.
Date First Approved to Provide Medicare Medicaid Services 12/01/1973
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.44795
Reported LPN Staffing Hours per Resident per Day 0.81644
Reported RN Staffing Hours per Resident per Day 0.9274
Reported Licensed Staffing Hours per Resident per Day 1.74384
Reported Total Nurse Staffing Hours per Resident per Day 4.19179
Reported Physical Therapist Staffing Hours per Resident Per Day 0.27192
Expected CNA Staffing Hours per Resident per Day 2.63462
Expected LPN Staffing Hours per Resident per Day 0.68028
Expected RN Staffing Hours per Resident per Day 1.10608
Expected Total Nurse Staffing Hours per Resident per Day 4.42098
Adjusted CNA Staffing Hours per Resident per Day 2.27985
Adjusted LPN Staffing Hours per Resident per Day 0.99613
Adjusted RN Staffing Hours per Resident per Day 0.62649
Adjusted Total Nurse Staffing Hours per Resident per Day 3.82193
Cycle 1 Total Number of Health Deficiencies 19
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 5
Cycle 1 Health Deficiency Score 108
Cycle 1 Standard Survey Health Date 04/07/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 108
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 03/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 07/22/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 66.667
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 1
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Edgewater Skilled Nursing Center

Owner Name Role Association Date
DAVEY JAY LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/11/2012
LAWS, DONALD (Individual) DIRECTOR since 05/01/2005
LINDSEY, BRYCE (Individual) MANAGING EMPLOYEE since 01/09/2014
OAKLEAF HOLDING LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/12/2012
OLSEN, SPENCER (Individual) OFFICER since 09/01/2011
SORENSEN, DAVID (Individual) DIRECTOR since 05/01/2005
SORENSEN, JOHN (Individual) DIRECTOR since 05/01/2005
VERMILLION INVESTMENT CO LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2010

90814 · Nursing Home

Alamitos Belmont Rehab Hospita 3901 E Fourth Street, Long Beach, CA 90814

Long Beach · Nursing Home

Windsor Convalescent Center of North Long Beach 260 E Market St, Long Beach, CA 90805
Park Avenue Extended Care Facility 425 National Boulevard, Long Beach, NY 11561
Pacific Palms Healthcare 1020 Termino Avenue, Long Beach, CA 90804
Intercommunity Care Center 2626 Grand Avenue, Long Beach, CA 90815
Windsor Gardens Conv Long Beac 3232 E. Artesia Blvd., Long Beach, CA 90805
Shoreline Healthcare Center 4029 East Anaheim Street, Long Beach, CA 90804
Beach Terrace Care Center 640 West Broadway, Long Beach, NY 11561
Atlantic Memorial Healthcare Center 2750 Atlantic Ave., Long Beach, CA 90806
Pacific Villa, Inc 3501 Cedar Avenue, Long Beach, CA 90807
Vista Cove Care Center At Long Beach 3401 Cedar Avenue, Long Beach, CA 90807
Broadway By The Sea 2725 E. Broadway, Long Beach, CA 90803
Alamitos Belmont Rehab Hospita 3901 E Fourth Street, Long Beach, CA 90814
Pacific Care Nursing Center 3355 Pacific Place, Long Beach, CA 90806
Long Beach Post Acute 1201 Walnut Avenue, Long Beach, CA 90813
Country Villa Belmont Heights 1730 Grand Ave, Long Beach, CA 90804
Regency Oaks Post Acute Care Center 3850 E. Esther St., Long Beach, CA 90804
Long Beach Nursing and Rehabilitation Center 375 East Bay Drive, Long Beach, NY 11561
Catered Manor Nursing Center 4010 Virginia Rd., Long Beach, CA 90807
Santa Fe Convalescent Hospital 3294 Santa Fe Avenue, Long Beach, CA 90810
Colonial Care Center 1913 E 5th Street, Long Beach, CA 90802
Marlora Post Acute Rehab Hosp 3801 E Anaheim St, Long Beach, CA 90804
Royal Care Skilled Nursing Ctr 2725 Pacific Avenue, Long Beach, CA 90806
Bixby Knolls Towers Health Care & Rehab Center 3747 Atlantic Avenue, Long Beach, CA 90807
Villa Serena Healthcare Center 723 E 9th Street, Long Beach, CA 90813
Country Villa Bay Vista Hcc 5901 Downey Ave, Long Beach, CA 90805
Long Beach Care Center, Inc 2615 Grand Avenue, Long Beach, CA 90815
Grandell Rehabilitation and Nursing Center 645 W Broadway, Long Beach, NY 11561

CA · Nursing Home

Providence Ojai 601 N Montgomery St, Ojai, CA 93023
Briarwood Post Acute 5901 Lemon Hill Ave, Sacramento, CA 95824
Vienna Nursing and Rehabilitation Center 800 So. Ham Lane, Lodi, CA 95242
Webster House 437 Webster Street, Palo Alto, CA 94301
Healdsburg District Hospital Dp/snf 1375 University Avenue, Healdsburg, CA 95448
Pico Rivera Healthcare Center 9140 Verner Street, Pico Rivera, CA 90660
Kyakameena Care Center 2131 Carleton Street, Berkeley, CA 94704
Rocky Point Care Center 625 16th Street, Lakeport, CA 95453
Imperial Heights Healthcare & Wellness Centre, LLC 320 Cattle Call Dr., Brawley, CA 92227
Country Villa Wilshire Convalescent Center 855 North Fairfax Avenue, Los Angeles, CA 90046
Camden Postacute Care, Inc 1331 Camden Avenue, Campbell, CA 95008
Pacifica Hospital of The Valley Dp Snf 9449 San Fernando Road, Sun Valley, CA 91352
Autumn Hills Health Care Center 430 N.glendale Ave, Glendale, CA 91206
Valley Subacute & Rehabilitation Center 515 East Orangeburg Avenue, Modesto, CA 95350
Orchard Post Acute Care 101 S Orchard Ave, Vacaville, CA 95688
San Gabriel Valley Medical Ctr D/p Snf 438 W. Las Tunas Drive, San Gabriel, CA 91776
The Grove Post-acute Care Center 14122 Hubbard Street, Sylmar, CA 91342
Royal Oaks Care Center 3565 E. Imperial Hwy., Lynwood, CA 90262
Reche Canyon Regional Rehab Center 1350 Reche Canyon Rd, Colton, CA 92324
Kindred Nursing and Transitional Care-pacific Coas 720 East Romie Lane, Salinas, CA 93901
Kindred Transitional Care & Rehab - Siena 11600 Education Street, Auburn, CA 95603
The Tamalpais 501 Via Casitas, Greenbrae, CA 94904
Catered Manor Nursing Center 4010 Virginia Rd., Long Beach, CA 90807
Woodlands Healthcare Center 14966 Terreno De Flores Lane, Los Gatos, CA 95030
Valley Convalescent Center 1700 S. Imperial Ave, El Centro, CA 92243
Casa De Las Campanas 18655 W. Bernardo Drive, San Diego, CA 92127
Advanced Rehab Center of Tustin 2210 E. First Street, Santa Ana, CA 92705
Mission Palms Healthcare Center 240 Hospital Circle, Westminster, CA 92683
Golden Living Center - Hillcrest 3672 North First Street, Fresno, CA 93726
The Pavilion At Sunny Hills 2222 N. Harbor Blvd., Fullerton, CA 92835
Herman Health Care Center 2295 Plummer Avenue, San Jose, CA 95125
Fidelity Health Care 11210 Lower Azusa Rd., El Monte, CA 91731
Royal Gardens Healthcare 2339 W. Valley Blvd., Alhambra, CA 91803
Healthcare Centre of Fresno 1665 M Street, Fresno, CA 93721
Live Oak Rehab Center 537 W Live Oak, San Gabriel, CA 91776
Kings Nursing & Rehabilitation Center 851 Leslie Lane, Hanford, CA 93230
Creekside Rehabilitation & Behavioral Health 850 Sonoma Ave, Santa Rosa, CA 95404
Villa Pomerado D/p Snf 15615 Pomerado Rd, Poway, CA 92064
Empres Post Acute Rehabilitation 300 Douglas Street, Petaluma, CA 94952
San Diego Post-acute Center 1201 South Orange Ave., El Cajon, CA 92020