Windsor Gardens Conv Long Beac
3232 E. Artesia Blvd., Long Beach, CA 90805


Windsor Gardens Conv Long Beac is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555375. The address is 3232 E. Artesia Blvd., Long Beach, CA 90805. The zip code is 90805. The phone number is 5624229219.


Windsor Gardens Conv Long Beac · 3232 E. Artesia Blvd., Long Beach, CA 90805

Federal Provider Number 555375
Provider Name WINDSOR GARDENS CONV LONG BEAC
Address 3232 E. ARTESIA BLVD.
LONG BEACH, CA 90805
Phone Number 5624229219
SSA County Code 200
County Name Los Angeles
Ownership Type For profit - Corporation
Certified Beds 199
Certified Beds Residents 180
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 05/15/1989
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 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.25389
Reported LPN Staffing Hours per Resident per Day 1.08167
Reported RN Staffing Hours per Resident per Day 0.345
Reported Licensed Staffing Hours per Resident per Day 1.42667
Reported Total Nurse Staffing Hours per Resident per Day 3.68056
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17056
Expected CNA Staffing Hours per Resident per Day 2.51746
Expected LPN Staffing Hours per Resident per Day 0.65331
Expected RN Staffing Hours per Resident per Day 1.07659
Expected Total Nurse Staffing Hours per Resident per Day 4.24736
Adjusted CNA Staffing Hours per Resident per Day 2.1968
Adjusted LPN Staffing Hours per Resident per Day 1.37422
Adjusted RN Staffing Hours per Resident per Day 0.23945
Adjusted Total Nurse Staffing Hours per Resident per Day 3.49299
Cycle 1 Total Number of Health Deficiencies 25
Cycle 1 Number of Standard Health Deficiencies 15
Cycle 1 Number of Complaint Health Deficiencies 12
Cycle 1 Health Deficiency Score 112
Cycle 1 Standard Survey Health Date 01/24/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 112
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 104
Cycle 2 Standard Health Survey Date 10/08/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 104
Cycle 3 Total Number of Health Deficiencies 17
Cycle 3 Number of Standard Health Deficiencies 15
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 322
Cycle 3 Standard Health Survey Date 06/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 322
Total Weighted Health Survey Score 144.333
Number of Facility Reported Incidents 7
Number of Substantiated Complaints 9
Number of Fines 1
Total Amount of Fines in Dollars $9000.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Windsor Gardens Conv Long Beac

Owner Name Role Association Date
BLYTHE VENTURES INC (Organization) PARTNERSHIP INTEREST since 11/01/2008
BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 05/19/2009
BOWEN, JOHN (Individual) MANAGING EMPLOYEE since 11/01/2008
FEIGEN, LAWRENCE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
GERBER, SELWYN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
KANDEL, ALLAN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
KATZ, RAFAEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
S&F MANAGEMENT COMPANY INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2008
SAMSON, LEE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2008
WINDSOR COUNTRY PARK HEALTHCARE CENTER LLC (Organization) PARTNERSHIP INTEREST since 11/01/2008

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