Country Villa Bay Vista Hcc
Country Villa Bay Vista Hcc Information
| Facility Name | Country Villa Bay Vista Hcc |
| Location | 5901 Downey Ave, Long Beach, CA 90805 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 562-634-4693 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 70 |
| Average Number of Residents | 65.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | COUNTRY VILLA SOUTH BAY, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1985-10-09 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.20949 |
| Reported LPN Staffing Hours per Resident per Day | 1.01077 |
| Reported RN Staffing - Hours per Resident per Day | 0.71149 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.72227 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.93175 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.13072 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.02837 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73228 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36106 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.12172 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.01547 |
| Total Weighted Health Survey Score for three cycles | 64 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-23 |
| Rating cycle 1 - Health Deficiency Score | 17 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-21 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-27 |
| Rating cycle 3 - Health Deficiency Score | 72 |
| Rating cycle 3 - Total Health Inspection Score | 72 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 5000 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |