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VERDUGO VALLEY SKILLED NURSING & WELLNESS CT

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VERDUGO VALLEY SKILLED NURSING & WELLNESS CT VS
All other Nursing Homes USA
General
City MONTROSE   vs 0.1% Nursing Homes USA have MONTROSE
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 2635 HONOLULU AVE  
Zip Code 91020  
Phone 8182486856  
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
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
138  (29.06 higher than average)
vs
108.94

Total Number of Residents
135  (43.75 higher than average)
vs
91.25

Percent of Occupied Beds
98 % (14.35 % higher than average)
vs
83.65 %

Health Survey Date 6/3/2011  
Fire Survey Date 6/14/2011  
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
(53.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(51.31 lower than average)
vs
56.31

# of deficiencies 13  
Staff Information
Number of Residents
135  (43.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.35  (0.42 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.78  (0.06 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.13  (5.36 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.13  (0.03 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Provide Bedrooms That Don't Allow Residents To See Each Other When Privacy Is Needed.
survey Date: 04/27/2012
date Of Correction: 07/02/2012 

Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 09/08/2011
date Of Correction: 10/04/2011 

Deficiency #3 Scope: Many
level Of Harm: 4
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 09/08/2011
date Of Correction: 10/04/2011 

Deficiency #4 Scope: Many
level Of Harm: 4
deficiency: Maintain Comfortable And Safe Temperature Levels.
survey Date: 09/08/2011
date Of Correction: 10/04/2011 

Resident Rights Deficiencies
Deficiency #1 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: 03/24/2010
date Of Correction: 04/19/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 03/24/2010
date Of Correction: 04/19/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/27/2012
date Of Correction: 07/02/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 04/26/2010
date Of Correction: 06/25/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 05/15/2009
date Of Correction: 06/08/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.
survey Date: 04/26/2010
date Of Correction: 06/25/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.
survey Date: 04/26/2010
date Of Correction: 06/25/2010 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.
survey Date: 09/08/2011
date Of Correction: 10/04/2011 

Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Have A Detailed, Written Plan For Disasters And Emergencies, Such As Fire, Severe Weather, And Missing Residents.
survey Date: 09/08/2011
date Of Correction: 10/04/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
82.1 % (57.01 % 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
16.7 % (0.04 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.3 % (9.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 8.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
17.9 (64.2) % (26.64 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 % (12.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
11.1 % (2.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
3.3 % (25.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.7 % (41.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
28.6 % (3.58 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70 % (14.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
64 % (19.94 % 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
1.7 % (13.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
83.2 % (57.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (22 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 17.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers
3 % (6.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.8 % (1.3 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
14.9-28 % (28.48 % lower 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
9.7 % (0.12 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
2.5 % (17.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.7 % (36.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 23.8:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
61.8 % (19.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
64.6 % (10.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
13.7 % (3.64 % lower than average)
vs
17.34 %



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