Long Beach Post Acute
1201 Walnut Avenue, Long Beach, CA 90813


Long Beach Post Acute is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555010. The address is 1201 Walnut Avenue, Long Beach, CA 90813. The zip code is 90813. The phone number is 5625917621.


Long Beach Post Acute · 1201 Walnut Avenue, Long Beach, CA 90813

Federal Provider Number 555010
Provider Name LONG BEACH POST ACUTE
Address 1201 WALNUT AVENUE
LONG BEACH, CA 90813
Phone Number 5625917621
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 78
Certified Beds Residents 57
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LONG BEACH POST ACUTE LLC
Date First Approved to Provide Medicare Medicaid Services 05/01/1979
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 3
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.40351
Reported LPN Staffing Hours per Resident per Day 0.52544
Reported RN Staffing Hours per Resident per Day 0.34649
Reported Licensed Staffing Hours per Resident per Day 0.87193
Reported Total Nurse Staffing Hours per Resident per Day 2.27544
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05
Expected CNA Staffing Hours per Resident per Day 2.2273
Expected LPN Staffing Hours per Resident per Day 0.56661
Expected RN Staffing Hours per Resident per Day 1.0316
Expected Total Nurse Staffing Hours per Resident per Day 3.82551
Adjusted CNA Staffing Hours per Resident per Day 1.54617
Adjusted LPN Staffing Hours per Resident per Day 0.7697
Adjusted RN Staffing Hours per Resident per Day 0.25097
Adjusted Total Nurse Staffing Hours per Resident per Day 2.39761
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 76
Cycle 1 Standard Survey Health Date 05/29/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 76
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 03/13/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 11/17/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 59.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Long Beach Post Acute

Owner Name Role Association Date
MANDELBAUM, BRENDA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2014
MANDELBAUM, JANET (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2014
MANDELBAUM, SIM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2014
MSSM LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2014
OFER, AHARON (Individual) MANAGING EMPLOYEE since 10/01/2014
STOCK, MORDECHAI (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2014

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