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COUNTRY VILLA WATSONVILLE WEST NRSG & REHAB CENTER

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COUNTRY VILLA WATSONVILLE WEST NRSG & REHAB CENTER VS
All other Nursing Homes USA
General
City WATSONVILLE   vs 0% Nursing Homes USA have WATSONVILLE
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 525 AUTO CENTER DRIVE  
Zip Code 95076  
Phone 8317247505  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
95  (13.94 lower than average)
vs
108.94

Total Number of Residents
85  (6.25 lower than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 6/24/2011  
Fire Survey Date 6/29/2011  
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
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA 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 Both  vs 29.8% Nursing Homes USA have Both
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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies 8  
Staff Information
Number of Residents
86  (5.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.09  (0.32 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.37  (0.47 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.46  (0.13 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.07  (5.42 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.07  (0.03 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 02/07/2012
date Of Correction: 03/26/2012 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/07/2012
date Of Correction: 03/26/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/02/2009
date Of Correction: 12/01/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/02/2009
date Of Correction: 12/01/2009 

Resident Assessment Deficiencies
Deficiency #1 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: 11/02/2009
date Of Correction: 12/01/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.
survey Date: 11/02/2009
date Of Correction: 12/01/2009 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Ensure The Activities Program Is Directed By A Qualified Professional.
survey Date: 11/02/2009
date Of Correction: 12/01/2009 

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: 11/02/2009
date Of Correction: 12/01/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.4 % (0.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (31.95 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
10.5 % (6.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (8.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.9 % (4.93 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 % (11.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.3 % (5.16 % lower 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
2.7 % (40.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
29.3 % (4.28 % higher 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
70.4 % (13.54 % 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
1.4 % (14.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.4 % (4.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (22.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
16.6 % (2.5 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.3 % (4.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.2 % (0.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.9 % (2.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 % (7.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
9.1 % (0.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.5 - 2.0 % (19.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.7 % (35.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.3 % (9.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.2 % (4.44 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
52.4 % (29.04 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
72.4 % (2.35 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
20.3 % (2.96 % higher than average)
vs
17.34 %



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