TARZANA HEALTH REHAB CTR | comparical.com

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TARZANA HEALTH REHAB CTR

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General
Percent of short-stay residents with Pressure ulcers that are new or worsened	75.2 %
City	TARZANA	vs	0% Nursing Homes USA have TARZANA
State attribute explanation	CA	vs	7.8% Nursing Homes USA have CA
Street	5650 RESEDA BLVD
Zip Code	91356
Phone	8188814261
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
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	180 (71.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (180)
Total Number of Residents	133 (41.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (133)
Percent of Occupied Beds	74 % (9.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (74) %
Health Survey Date	3/29/2011
Fire Survey Date	3/25/2011
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	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	69

Staff Information
Number of Residents	136 (44.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.48 (0.29 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.95 (0.11 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.44 (0.15 lower 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: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 05/08/2012 date Of Correction: 07/09/2012
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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #3		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: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #4		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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #5		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: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #6		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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #7		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: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #8		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: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #9		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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #10		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: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #11		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: 07/02/2009 date Of Correction: 09/08/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #12		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #13		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #14		Scope: Few level Of Harm: 2 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #15		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #16		Scope: Few level Of Harm: 2 deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #17		Scope: Few level Of Harm: 2 deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records. survey Date: 07/02/2009 date Of Correction: 09/08/2009

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/10/2011 date Of Correction: 05/17/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #7		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/10/2011 date Of Correction: 05/17/2011
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #12		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/10/2011 date Of Correction: 05/17/2011
Deficiency #13		Scope: Few level Of Harm: 2 deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #14		Scope: Few level Of Harm: 2 deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #15		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #16		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #17		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/10/2011 date Of Correction: 05/17/2011
Deficiency #18		Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 05/08/2012 date Of Correction: 07/09/2012
Deficiency #19		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 03/10/2011 date Of Correction: 05/17/2011
Deficiency #20		Scope: Few level Of Harm: 2 deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident. survey Date: 12/17/2009 date Of Correction: 01/06/2010

Resident Assessment Deficiencies
Deficiency #1		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: 03/29/2012 date Of Correction: 04/27/2012
Deficiency #2		Scope: Some level Of Harm: 1 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 06/22/2009 date Of Correction: 09/14/2009
Deficiency #3		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: 03/29/2012 date Of Correction: 04/27/2012
Deficiency #4		Scope: Some level Of Harm: 1 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 06/22/2009 date Of Correction: 09/14/2009
Deficiency #5		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: 03/29/2012 date Of Correction: 04/27/2012
Deficiency #6		Scope: Some level Of Harm: 1 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 06/22/2009 date Of Correction: 09/14/2009
Deficiency #7		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: 03/29/2012 date Of Correction: 04/27/2012
Deficiency #8		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: 03/29/2012 date Of Correction: 04/27/2012
Deficiency #9		Scope: Some level Of Harm: 1 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 06/22/2009 date Of Correction: 09/14/2009
Deficiency #10		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: 03/29/2012 date Of Correction: 04/27/2012
Deficiency #11		Scope: Some level Of Harm: 1 deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan. survey Date: 06/22/2009 date Of Correction: 09/14/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 12/17/2009 date Of Correction: 01/06/2010
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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #4		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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #6		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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #8		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: 07/02/2009 date Of Correction: 09/08/2009
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 12/17/2009 date Of Correction: 01/06/2010
Deficiency #10		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: 07/02/2009 date Of Correction: 09/08/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	26.7 % (1.61 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	8.2 % (8.46 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	6.8 % (5.78 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	7.5 % (4.33 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	84.4 % (39.86 % higher than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.8 % (9.83 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	3.7 % (9.76 % 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	1.8 % (41.88 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	19.5-24 % (5.52 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	83.8 % (0.84 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	85.7 % (1.76 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	1.8 % (44.1 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	0.9 % (14.62 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	22.5 % (2.89 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (51.5 % higher than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	3.5 % (10.6 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	7.9:1 %
Percent of long-stay residents who lose too much weight	7.6 % (0.9 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	80.4 % (37.02 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.1 % (4.55 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	4.4 % (5.18 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	75.2 % (55.34 % higher than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	2.20 % (36.33 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	0.6 % (10.13 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	17.5 % (7.26 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	80.5 % (0.94 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	82.2 % (7.45 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	13.4 % (3.94 % lower than average)	vs	17.34 %