COUNTRY VILLA SEAL BEACH HEALTHCARE CENTER

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General
City	SEAL BEACH	vs	0% Nursing Homes USA have SEAL BEACH
State attribute explanation	CA	vs	7.8% Nursing Homes USA have CA
Street	3000 BEVERLY MANOR RD
Zip Code	90740
Phone	5625982477
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	198 (89.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (198)
Total Number of Residents	190 (98.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (190)
Percent of Occupied Beds	96 % (12.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (96) %
Health Survey Date	5/19/2011
Fire Survey Date	5/24/2011
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	No	vs	68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	1 (55.31 lower than average)	vs	56.31
# of deficiencies	19

Staff Information
Number of Residents	190 (98.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.64 (0.13 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.06 (0.22 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.7 (0.11 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.11 (5.38 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.11 (0.01 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/12/2011 date Of Correction: 02/01/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 12/12/2011 date Of Correction: 02/01/2012

Mistreatment Deficiencies
Deficiency #1		Scope: Many level Of Harm: 4 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 12/12/2011 date Of Correction: 02/01/2012
Deficiency #2		Scope: Many level Of Harm: 4 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 12/12/2011 date Of Correction: 02/01/2012

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs. survey Date: 12/12/2011 date Of Correction: 02/01/2012

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 12/12/2011 date Of Correction: 03/14/2012
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 12/12/2011 date Of Correction: 03/14/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/12/2011 date Of Correction: 03/14/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 12/12/2011 date Of Correction: 03/14/2012
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 12/12/2011 date Of Correction: 03/14/2012

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors Visit Residents Regularly, As Required. survey Date: 12/12/2011 date Of Correction: 02/01/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing. survey Date: 12/12/2011 date Of Correction: 02/01/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 12/12/2011 date Of Correction: 03/14/2012

Administration Deficiencies
Deficiency #1		Haha
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator. survey Date: 05/29/2012 date Of Correction: 06/29/2012
Deficiency #3		Scope: Many level Of Harm: 2 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 12/12/2011 date Of Correction: 02/01/2012
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 12/12/2011 date Of Correction: 02/01/2012

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 04/19/2012 date Of Correction: 05/19/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 12/12/2011 date Of Correction: 02/01/2012

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	13.4 % (11.69 % lower than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	0.7 % (32.25 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	6.5 % (10.16 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	6.7 % (5.88 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	8.3 % (3.53 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	75.7 % (31.16 % higher than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.5 % (12.13 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	15 % (1.54 % higher than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	75.2 % (46.82 % higher than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	2.20 % (41.48 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	15.1 % (9.92 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	57.7 % (26.94 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	61.5 % (22.44 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 % (29.3 % higher than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	0.7 % (14.82 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	13.7 % (11.69 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.8 % (22.9 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	8.1 / 8.8 %
Percent of long-stay high-risk residents with pressure ulcers	7.7 % (1.52 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	8.4 % (0.1 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	73.6 % (30.22 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	3.7 % (6.95 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	14.5 % (4.92 % higher than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	0.3 % (19.56 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	1.50 % (37.03 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	0.2 % (10.53 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	17.6 % (7.16 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	53.5 % (27.94 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	59.7 % (15.05 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	7.5 % (9.84 % lower than average)	vs	17.34 %