Long Beach Care Center, Inc
2615 Grand Avenue, Long Beach, CA 90815


Long Beach Care Center, Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056188. The address is 2615 Grand Avenue, Long Beach, CA 90815. The zip code is 90815. The phone number is 5624266141.


Long Beach Care Center, Inc · 2615 Grand Avenue, Long Beach, CA 90815

Federal Provider Number 056188
Provider Name LONG BEACH CARE CENTER, INC
Address 2615 GRAND AVENUE
LONG BEACH, CA 90815
Phone Number 5624266141
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 163
Certified Beds Residents 145
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LONG BEACH CARE CENTER, INC.
Date First Approved to Provide Medicare Medicaid Services 04/01/1971
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 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 3.12655
Reported LPN Staffing Hours per Resident per Day 1.12345
Reported RN Staffing Hours per Resident per Day 0.48862
Reported Licensed Staffing Hours per Resident per Day 1.61207
Reported Total Nurse Staffing Hours per Resident per Day 4.73862
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06207
Expected CNA Staffing Hours per Resident per Day 2.30271
Expected LPN Staffing Hours per Resident per Day 0.64873
Expected RN Staffing Hours per Resident per Day 1.1561
Expected Total Nurse Staffing Hours per Resident per Day 4.10754
Adjusted CNA Staffing Hours per Resident per Day 3.33156
Adjusted LPN Staffing Hours per Resident per Day 1.43736
Adjusted RN Staffing Hours per Resident per Day 0.3158
Adjusted Total Nurse Staffing Hours per Resident per Day 4.6502
Cycle 1 Total Number of Health Deficiencies 19
Cycle 1 Number of Standard Health Deficiencies 16
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 96
Cycle 1 Standard Survey Health Date 01/05/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 96
Cycle 2 Total Number of Health Deficiencies 20
Cycle 2 Number of Standard Health Deficiencies 19
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 156
Cycle 2 Standard Health Survey Date 10/16/2015
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 78
Cycle 2 Total Health Score 234
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 06/20/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 132.667
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Long Beach Care Center, Inc

Owner Name Role Association Date
LONG BEACH CARE CENTER, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2003
LONG BEACH CARE CENTER, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2003
LONG BEACH CARE CENTER, INC. (Organization) PARTNERSHIP INTEREST since 02/27/2004
NELSON, WILLIAM (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 10/01/2003
NELSON, WILLIAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 10/01/2003
NELSON, WILLIAM (Individual) MANAGING EMPLOYEE since 10/01/2003
NELSON, WILLIAM (Individual) OFFICER since 10/01/2003
ROLLINS, VICKI (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 10/01/2003
ROLLINS, VICKI (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 10/01/2003
ROLLINS, VICKI (Individual) DIRECTOR since 10/01/2003
ROLLINS, VICKI (Individual) MANAGING EMPLOYEE since 10/01/2003
ROLLINS, VICKI (Individual) OFFICER since 10/01/2003
ROLLINS, VICKI (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2003

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