SNF

ALAMITOS BELMONT HEALTH AND REHABILITATION

CCN: 056125 · LONG BEACH, CA 90814 · Los Angeles County

Overview

Address
3901 E FOURTH STREET, LONG BEACH, CA 90814
Phone
5624348421
Certified beds
94
Avg daily residents
86 (92% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1969-10-14
Setting
Urban
4 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.32 4.18 4.00 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.53 0.73 0.49 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.20 0.93 1.11 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.59 2.52 2.40 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.73 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.19 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.73
hrs / resident / day
RN (weekend)
0.25
hrs / resident / day
Total nurse (adjusted, weekend)
3.45
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
33.0%
annual
RN turnover
12.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.48
higher acuity than avg
Case-Mix Index Ratio
1.07
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-11-15 13 11 2 76 1 76
Cycle 2/3 (prior) 2023-11-09 19 13 6 156 1 156
Total weighted health score
96.0
lower is better

Deficiencies (42)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

40 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-12-13 2026-01-02
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-06-18 2025-07-03
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-11-15 2024-12-12
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-11-15 2024-12-12
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-11-15 2024-12-12
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-11-15 2024-12-12
0760 Ensure that residents are free from significant medication errors. D 2024-11-15 2024-12-12
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2024-11-15 2024-12-12
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-11-15 2024-12-12
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. E 2024-11-15 2024-12-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-11-15 2024-12-12
0814 Dispose of garbage and refuse properly. E 2024-11-15 2024-12-12
0880 Provide and implement an infection prevention and control program. E 2024-11-15 2024-12-12
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2024-04-05 2024-04-25
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-01-24 2024-02-08
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-24 2024-02-08
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2024-01-17 2024-02-09
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. G 2024-01-17 2024-02-09
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-11-09 2023-12-08
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-11-09 2023-12-08
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-11-09 2023-12-08
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-11-09 2023-12-08
0742 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. D 2023-11-09 2023-12-08
0759 Ensure medication error rates are not 5 percent or greater. F 2023-11-09 2023-12-08
0760 Ensure that residents are free from significant medication errors. F 2023-11-09 2023-12-08
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. E 2023-11-09 2023-12-08
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2023-11-09 2023-12-08
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2023-11-09 2023-12-08
0880 Provide and implement an infection prevention and control program. E 2023-11-09 2023-12-08
0881 Implement a program that monitors antibiotic use. D 2023-11-09 2023-12-08
0908 Keep all essential equipment working safely. E 2023-11-09 2023-12-08
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2023-04-15 2023-05-12
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2022-11-04 2022-12-04
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2022-11-04 2022-12-04
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-11-04 2022-12-04
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2022-11-04 2022-12-04
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2022-11-04 2022-12-04
0679 Provide activities to meet all resident's needs. D 2022-11-04 2022-12-04
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2022-11-04 2022-12-04
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2022-11-04 2022-12-04
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2022-11-04 2022-12-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-11-04 2022-12-04

Penalties (3)

Fines issued
3
last 3 years
Total fines
$42,161
Date Type Fine amount
2024-01-17 Fine $8,018
2024-01-17 Fine $8,018
2026-01-30 Fine $26,125

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 33.0% Medicaid 46.7% Other 20.3%

Operating performance

Operating Margin
9.3%
Total Margin
9.3%
Occupancy Rate
85.4%
Cost per Resident Day
$112

Revenue & costs

Net Patient Revenue
$14.3M
Total Costs
$3.0M
Net Income
$1.3M

Balance sheet

Total Assets
$17.8M
Total Liabilities
$16.4M
Fund Balance
$1.3M
Current Ratio
1.82

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE ENSIGN GROUP

Chain ID
507
Facilities in chain
329
Legal business name
MIDNIGHT HEALTHCARE INC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3

Owner / manager organizations (3)

Organization Role Association
FLAGSTONE HEALTHCARE SOUTH LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/08/2022
THE ENSIGN GROUP INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/08/2022
PRIORITY CARE STAFFING LLC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023

Owner / manager individuals (7)

Name Role Association
DAHL, SHAUN OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023
DE JONG, TYLER OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023
WILLITS, ADAM CORPORATE DIRECTOR since 11/08/2022
BURNAM, SOON CORPORATE OFFICER since 11/08/2022
KEETCH, CHAD CORPORATE OFFICER since 03/01/2011
KIM, JESSE CORPORATE OFFICER since 01/01/2023
SATO, AMI CORPORATE OFFICER since 09/09/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $112 metrics.cost_per_resident_day
Cost Report Current Ratio 1.82 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 46.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 33.0% metrics.medicare_day_share
Cost Report Net Income ($) $1,326,806 metrics.net_income
Cost Report Net Patient Revenue ($) $14,318,409 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 85.4% metrics.occupancy_rate
Cost Report Operating Margin (%) 9.3% metrics.operating_margin
Cost Report Total Assets ($) $17,757,687 metrics.total_assets
Cost Report Total Costs ($) $3,001,646 metrics.total_costs
Cost Report Total Fund Balances ($) $1,326,804 metrics.fund_balance
Cost Report Total Liabilities ($) $16,430,883 metrics.total_liabilities
Cost Report Total Margin (%) 9.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.10564 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.39722 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.49404 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.99689 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.45185 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 86.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.92710 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.51965 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.73076 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.17751 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.68203 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 507 Chain ID
Provider Information Chain Name THE ENSIGN GROUP Chain Name
Provider Information City/Town LONG BEACH City/Town
Provider Information CMS Certification Number (CCN) 056125 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1969-10-14 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 33.7717 Latitude
Provider Information Legal Business Name MIDNIGHT HEALTHCARE INC Legal Business Name
Provider Information Location 3901 E FOURTH STREET,LONG BEACH,CA,90814 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -118.15 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 94 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 329 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.47990 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.07423 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3901 E FOURTH STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ALAMITOS BELMONT HEALTH AND REHABILITATION Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 76 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 2 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 11 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-11-15 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 76 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-11-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 156 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 156 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 19 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.25005 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 12.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.73084 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.19630 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.59378 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.19154 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.53455 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.32462 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 5624348421 Telephone Number
Provider Information Total Amount of Fines in Dollars 42161.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.73489 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 33.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 96.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 90814 ZIP Code