Atlantic Memorial Healthcare Center
2750 Atlantic Ave., Long Beach, CA 90806


Atlantic Memorial Healthcare Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055744. The address is 2750 Atlantic Ave., Long Beach, CA 90806. The zip code is 90806. The phone number is 5624248101.


Atlantic Memorial Healthcare Center · 2750 Atlantic Ave., Long Beach, CA 90806

Federal Provider Number 055744
Provider Name ATLANTIC MEMORIAL HEALTHCARE CENTER
Address 2750 ATLANTIC AVE.
LONG BEACH, CA 90806
Phone Number 5624248101
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 104
Certified Beds Residents 93
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.
Date First Approved to Provide Medicare Medicaid Services 05/08/1967
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 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating Footnote Data Not Available
RN Staffing Rating Footnote Data Not Available
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.59547
Expected LPN Staffing Hours per Resident per Day 0.72067
Expected RN Staffing Hours per Resident per Day 1.30743
Expected Total Nurse Staffing Hours per Resident per Day 4.62356
Cycle 1 Total Number of Health Deficiencies 27
Cycle 1 Number of Standard Health Deficiencies 25
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 251
Cycle 1 Standard Survey Health Date 03/20/2017
Cycle 1 Number of Health Revisits 2
Cycle 1 Health Revisit Score 126
Cycle 1 Total Health Score 377
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 88
Cycle 2 Standard Health Survey Date 01/08/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 88
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 15
Cycle 3 Health Deficiency Score 80
Cycle 3 Standard Health Survey Date 01/09/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 231.167
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Atlantic Memorial Healthcare Center

Owner Name Role Association Date
BURNAM, SOON (Individual) OFFICER since 02/01/2006
CHRISTENSEN, CHRISTOPHER (Individual) DIRECTOR since 02/01/2006
ENSIGN GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 01/01/2003
PORT, BARRY (Individual) OFFICER since 01/22/2015
THE FLAGSTONE GROUP INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/01/2006
WILLIAMS, WILESTELA (Individual) MANAGING EMPLOYEE since 10/16/2015
WILLIAMS, WILESTELA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/16/2015
WITTEKIND, BEVERLY (Individual) OFFICER since 02/01/2006

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