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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 Beds70
Average Number of Residents65.4
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 InstalledYes
Located In Hospital No
Resident Family CouncilBoth

Provider Business NameCOUNTRY VILLA SOUTH BAY, LLC
Ownership TypeFor profit - Corporation
Date First Approved1985-10-09

Reported Nurse Aide Staffing Hours per Resident per Day2.20949
Reported LPN Staffing Hours per Resident per Day1.01077
Reported RN Staffing - Hours per Resident per Day0.71149
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 Day0.13072
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.02837
Case-Mix LPN Staffing - Hours per Resident per Day0.73228
Case-Mix RN Staffing - Hours per Resident per Day0.36106
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 cycles64
Rating cycle 1 Standard Survey Health Date2019-12-23
Rating cycle 1 - Health Deficiency Score17
Rating cycle 1 - Total Health Inspection Score24
Date of Rating cycle 2 Standard Health Survey Date2018-12-21
Rating cycle 2 - Health Deficiency Score24
Date of Rating cycle 3 Standard Health Survey Date2018-01-27
Rating cycle 3 - Health Deficiency Score72
Rating cycle 3 - Total Health Inspection Score72

Number of Facility-Reported Incidents2
Number of Substantiated Complaints3
Number of Substantiated Complaints3
Number of Fines1
Total Amount of Fines (in Dollars)5000
Total Number of Penalties1

Data Filing Date2020-10-01
Page Last Updated2020-11-28