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SANTA CLARITA CONV. HOSPITAL

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SANTA CLARITA CONV. HOSPITAL VS
All other Nursing Homes USA
General
City NEWHALL   vs 0% Nursing Homes USA have NEWHALL
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 23801 NEWHALL AVENUE  
Zip Code 91321  
Phone 6612593660  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
99  (9.94 lower than average)
vs
108.94

Total Number of Residents
94  (2.75 higher than average)
vs
91.25

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

Health Survey Date 8/12/2011  
Fire Survey Date 8/18/2011  
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? No  vs 45.1% Nursing Homes USA don't 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 2  
Staff Information
Number of Residents
94  (2.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.36  (0.41 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.91  (0.07 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.28  (0.31 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/04/2010
date Of Correction: 05/24/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/04/2010
date Of Correction: 05/24/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38 % (12.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (30.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
16.2 % (0.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.3 % (1.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
1.4 % (10.43 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 % (13.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.8 % (6.66 % 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
3.9 % (39.78 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
44.3 % (19.28 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
68.8 % (15.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
68.5 % (15.44 % 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
1.3 % (14.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
40.7 % (15.31 % higher 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
11.2-20 % (2.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.8 % (1.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.2 % (4.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.1 % (0.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.2 % (7.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 8.9 / 9.9 % 
Percent of long-stay residents who have depressive symptoms
0.4 % (19.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.3 % (33.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.8 % (8.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
35.3 % (10.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.5 % (14.94 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
66.9 % (7.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (14.24 % lower than average)
vs
17.34 %



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