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Facility Information

Facility ID: 060000026

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Seal Beach Health And Rehabilitation Center

Other previous Names(s) known as:

  • Country Villa Seal Beach Healthcare Center
  • Beverly Healthcare
  • Beverly Manor Nursing And Rehab Center

3000 N Gate Rd
Seal Beach, Ca   90740

County:Orange

Phone:(562) 598-2477

Fax:(323) 596-2240

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Orange County District Office
681 S Parker St, Ste 200
Orange, CA. 92868
Phone Number: (714) 567-2906

License Information

Licensee: Ag Seal Beach, Llc
6380 Wilshire Blvd., Suite 800
Los Angeles, Ca 90048

Licensee Type: Limited Liability Company

License Number: 060000083

License Status: Active

License Category: Skilled Nursing Facility

License Effective Date: 12/31/2013

Expiration Date: 10/31/2014

Total License Capacity: 198

Bed Classification/Services:

Other Approved Services:

  • Speech Pathology
  • Physical Therapy
  • Outpatient Services
  • Occupational Therapy

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:SNF/NF

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:9/19/2013

Nursing Home Compare Five Star Quality Ratings are provided by the Medicare.gov - Nursing Home Compare website.

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2014

2ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2013

7ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

50Survey DeficienciesSurvey Deficiencies

Year: 2012

11ComplaintsComplaints

7Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

43Survey DeficienciesSurvey Deficiencies

Year: 2011

8ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

62Survey DeficienciesSurvey Deficiencies

Year: 2010

5ComplaintsComplaints

3Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

43Survey DeficienciesSurvey Deficiencies

Year: 2009

5ComplaintsComplaints

4Facility Self-Reported IncidentsFacility Self-Reported Incidents

3State Enforcement ActionsEnforcement Actions

51Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

13Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

2State Enforcement ActionsEnforcement Actions

46Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

44Survey DeficienciesSurvey Deficiencies

Year: 2005

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

23Survey DeficienciesSurvey Deficiencies

Year: 2004

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

16Survey DeficienciesSurvey Deficiencies

Administration Information

10/1/2003
to Present

Ag Seal Beach, Llc
Relationship to Facility: Licensee

11/14/2013
to Present

Williams, Wilestela
Relationship to Facility: Administrator

4/1/2013
to Present

Curtom Siblag, Marivic
Relationship to Facility: Director Of Nursing

10/1/2013
to Present

Cambridge Healthcare Services, Llc
Relationship to Facility: Management Company

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

10/1/2003
to Present

3000 Seal Beach, Llc
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

4/16/2013
to Present

Williams, Julianne
Relationship to Facility: Corporate Officer