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RIMROCK VILLA CONV HOSPITAL

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RIMROCK VILLA CONV HOSPITAL VS
All other Nursing Homes USA
General
City BARSTOW   vs 0% Nursing Homes USA have BARSTOW
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 27555 RIMROCK ROAD  
Zip Code 92311  
Phone 7602522515  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

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

RN Only Star Rating
(2.17 lower than average)
vs
3.17

Number of Certified Beds
59  (49.94 lower than average)
vs
108.94

Total Number of Residents
56  (35.25 lower than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 10/13/2011  
Fire Survey Date 10/20/2011  
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 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
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
19  (11.52 higher than average)
vs
7.48

Staff Information
Number of Residents
56  (35.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.38  (0.39 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.73  (0.89 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.11  (0.52 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.2  (5.29 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.2  (0.1 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Comfortable Sound Levels.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

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: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep Complete, Dated Lab Records In The Resident's File.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Deficiency #2 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: 07/14/2009
date Of Correction: 08/17/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 07/14/2009
date Of Correction: 08/17/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
5.3 % (19.79 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.3 % (29.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who lose too much weight 13.9 / 15.3 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 % (12.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.5 % (8.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.1 % (12.16 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.6 % (42.3 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
5.3 % (10.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
6.9 % (18.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.3 % (21.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 12.8:1 % 
Percent of long-stay high-risk residents with pressure ulcers
10.8 % (1.58 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 13.9 / 15.3 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.2 % (12.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.7 % (7.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.8 % (19.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.6 % (36.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
5.5 % (5.23 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
37.3 % (12.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.1 % (12.66 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.7 % (19.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
8.3 % (9.04 % lower than average)
vs
17.34 %



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