| General |
| City |
| Lake View Terrace |
Sunnyvale |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 11723 Fenton Avenue |
1002 W. Fremont Avenue |
| Zip Code |
| 91,342 |
94,087 |
| Phone |
| 8,188,990,251 |
4,087,392,383 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
5 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 1 |
5 |
| Number of Certified Beds |
| 99 |
185 |
|
Total Number of Residents |
| 84 |
147 |
|
Percent of Occupied Beds |
| 85 % |
79 % |
| Health Survey Date |
| 12/19/2011 |
7/22/2011 |
| Fire Survey Date |
| 12/19/2011 |
7/27/2011 |
| 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? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
|
3 |
|
| Staff Information |
| Number of Residents |
| 84 |
147 |
| Number of RN Hours Per Resident Per Day |
| 0.32 |
1.07 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.56 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.04 |
1.64 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/22/2011date Of Correction: 10/03/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 02/09/2012date Of Correction: 03/19/2012 |
| Deficiency #2 |
|
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: 02/09/2012date Of Correction: 03/19/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 80 % |
53.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.5 % |
5.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
|
6.7 % |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 28.1 % |
27.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.6 % |
5.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
3.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.9 % |
2.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
27.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
15.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 86.5 % |
47.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.1 % |
8.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
9.4 / 10.4 |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
3.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26 % |
26.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
4.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.3 % |
3.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
2.5 % |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.2 % |
11.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 54.5 % |
36 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 7.8 % |
19.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
11.5 % |