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VALLEY HEALTHCARE CENTER

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VALLEY HEALTHCARE CENTER VS
All other Nursing Homes USA
General
City SAN BERNARDINO   vs 0.1% Nursing Homes USA have SAN BERNARDINO
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 1680 NORTH WATERMAN AVENUE  
Zip Code 92404  
Phone 9098865291  
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
109  (0.06 higher than average)
vs
108.94

Total Number of Residents
86  (5.25 lower than average)
vs
91.25

Percent of Occupied Beds
79 % (4.65 % lower than average)
vs
83.65 %

Health Survey Date 7/22/2011  
Fire Survey Date 7/27/2011  
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 25  
Staff Information
Number of Residents
93  (1.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.86  (0.02 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.59  (equals average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.12  (5.37 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.12  (0.02 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/03/2009
date Of Correction: 01/05/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
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: 09/03/2009
date Of Correction: 01/05/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Proper Discharge Planning And Communication, Of The Resident's Health Status And Summary Of The Resident's Stay.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
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: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.
survey Date: 09/03/2009
date Of Correction: 01/05/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

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: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Deficiency #3 Scope: Some
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: 09/03/2009
date Of Correction: 11/05/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 09/03/2009
date Of Correction: 11/05/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 10.3:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
12.9 (55.2) % (3.76 % 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
7.7 % (4.13 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.5 % (18.04 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (11.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.4 % (7.06 % 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
7.1 % (36.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
18.7 % (6.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.7 % (13.06 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.5 % (11.56 % higher 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
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.2-20 % (14.19 % 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
11.4 % (2.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.9 % (1.68 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.8 % (0.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.7 % (14.68 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 % (6.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.6 % (4.98 % 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
8.2 % (30.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
19.7 % (5.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.8 % (16.36 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
97.7 % (22.95 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.7 % (13.64 % lower than average)
vs
17.34 %



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