| General |
| City |
| Lake View Terrace |
Santa Cruz |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 11723 Fenton Avenue |
675 24th Avenue |
| Zip Code |
| 91,342 |
95,062 |
| Phone |
| 8,188,990,251 |
8,314,756,323 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 2 |
1 |
|
Quality Measures Star Rating |
| 5 |
2 |
|
RN Only Star Rating |
| 1 |
2 |
|
Number of Certified Beds |
| 99 |
92 |
|
Total Number of Residents |
| 84 |
82 |
|
Percent of Occupied Beds |
| 85 % |
89 % |
| Health Survey Date |
| 12/19/2011 |
1/17/2012 |
| Fire Survey Date |
| 12/19/2011 |
1/18/2012 |
| 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? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Both |
| 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 |
|
9 |
|
| Staff Information |
| Number of Residents |
| 84 |
82 |
| Number of RN Hours Per Resident Per Day |
| 0.32 |
0.38 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.55 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.04 |
0.93 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.1 |
| 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: 04/10/2012date Of Correction: 05/09/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 04/16/2009date Of Correction: 05/14/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 04/10/2012date Of Correction: 05/09/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 03/17/2011date Of Correction: 05/10/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/22/2011date Of Correction: 01/27/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 11/22/2011date Of Correction: 01/27/2012 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.survey Date: 06/06/2012date Of Correction: 07/12/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 06/09/2010date Of Correction: 07/12/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 10/14/2011date Of Correction: Not Available |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 80 % |
23.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.5 % |
13.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
3.7 % |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
11.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.6 % |
3.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
12.9 (55.2) |
| Percent of long-stay residents who have depressive symptoms |
| 4.9 % |
2.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
8.6:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
|
17.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
81.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
86.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
4.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 86.5 % |
21.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.1 % |
21.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
4.7 % |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
8.1 / 8.8 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26 % |
36.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
1.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.3 % |
10.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
4.5 % |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
9.4 / 10.4 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
3.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.2 % |
21 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 54.5 % |
77.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 7.8 % |
65.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
26.6 (79.9) |