| General |
| City |
| Modesto |
Costa Mesa |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 1611 Scenic Drive |
340 Victoria Street |
| Zip Code |
| 95,355 |
92,627 |
| Phone |
| 2,095,235,667 |
9,496,420,387 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 1 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 99 |
79 |
| Total Number of Residents |
| 74 |
72 |
|
Percent of Occupied Beds |
| 75 % |
91 % |
| Health Survey Date |
| 10/20/2011 |
8/18/2011 |
| Fire Survey Date |
| 10/26/2011 |
8/23/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
2 |
|
| Staff Information |
| Number of Residents |
| 74 |
72 |
| Number of RN Hours Per Resident Per Day |
| 1.1 |
0.68 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
1.28 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.1 |
1.95 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.16 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.16 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 09/09/2009date Of Correction: Not Available |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 04/22/2009date Of Correction: 08/04/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 04/22/2009date Of Correction: 08/04/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 06/05/2012date Of Correction: 06/30/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 04/22/2009date Of Correction: 08/04/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 06/05/2012date Of Correction: 06/30/2012 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 04/22/2009date Of Correction: 08/04/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13.8 % |
15.9:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 14.3 % |
7.1 % |
| Percent of long-stay residents who lose too much weight |
| 7 % |
7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.4 % |
9.9:1 |
| Percent of long-stay residents with a urinary tract infection |
| 9.9:1 |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 25.4 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.2:1 |
7.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.5 % |
64.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95 % |
72.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
2.20 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.9-28 |
18.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.8 % |
3.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.8 % |
5.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15 % |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 4.8 % |
6.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 59.2 % |
67.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
9.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 13 % |
3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 28.9 % |
3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
1.50 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.7 % |
12.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 76.8 % |
69.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.2 % |
67.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.6:1 |
4.2 % |