Broadway By The Sea
2725 E. Broadway, Long Beach, CA 90803


Broadway By The Sea is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055894. The address is 2725 E. Broadway, Long Beach, CA 90803. The zip code is 90803. The phone number is 5624344494.


Broadway By The Sea · 2725 E. Broadway, Long Beach, CA 90803

Federal Provider Number 055894
Provider Name BROADWAY BY THE SEA
Address 2725 E. BROADWAY
LONG BEACH, CA 90803
Phone Number 5624344494
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 98
Certified Beds Residents 83
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HACIENDA C H INC
Date First Approved to Provide Medicare Medicaid Services 02/13/1968
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 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.30422
Reported LPN Staffing Hours per Resident per Day 1.25181
Reported RN Staffing Hours per Resident per Day 1.25663
Reported Licensed Staffing Hours per Resident per Day 2.50843
Reported Total Nurse Staffing Hours per Resident per Day 5.81266
Reported Physical Therapist Staffing Hours per Resident Per Day 0.20482
Expected CNA Staffing Hours per Resident per Day 2.65861
Expected LPN Staffing Hours per Resident per Day 0.78261
Expected RN Staffing Hours per Resident per Day 1.25149
Expected Total Nurse Staffing Hours per Resident per Day 4.6927
Adjusted CNA Staffing Hours per Resident per Day 3.04955
Adjusted LPN Staffing Hours per Resident per Day 1.32762
Adjusted RN Staffing Hours per Resident per Day 0.75027
Adjusted Total Nurse Staffing Hours per Resident per Day 4.99291
Cycle 1 Total Number of Health Deficiencies 13
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 07/08/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 52
Cycle 2 Standard Health Survey Date 05/01/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 52
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 12
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 01/30/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 66.667
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 8
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Broadway By The Sea

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 06/01/1998
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
RAMESH, JENNIFER (Individual) MANAGING EMPLOYEE since 10/14/2013
SORENSEN, DAVID (Individual) DIRECTOR since 06/01/1998
SORENSEN, JOHN (Individual) DIRECTOR since 06/01/1998
VERMILLION INVESTMENT CO LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2010

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