| General |
| City |
| Lake View Terrace |
Woodland Hills |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 11723 Fenton Avenue |
23388 Mulholland Dr. |
| Zip Code |
| 91,342 |
91,364 |
| Phone |
| 8,188,990,251 |
8,188,761,888 |
|
Overall Star Rating |
| 4 |
5 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 1 |
3 |
|
Number of Certified Beds |
| 99 |
195 |
|
Total Number of Residents |
| 84 |
63 |
|
Percent of Occupied Beds |
| 85 % |
32 % |
| Health Survey Date |
| 12/19/2011 |
9/11/2011 |
| Fire Survey Date |
| 12/19/2011 |
9/11/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| No |
No |
| 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 |
|
2 |
|
| Staff Information |
| Number of Residents |
| 84 |
63 |
| Number of RN Hours Per Resident Per Day |
| 0.32 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
1.78 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.04 |
2.36 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.28 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.28 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/24/2011date Of Correction: 12/29/2011 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/14/2009date Of Correction: 04/29/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 80 % |
35.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.5 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
5.3 % |
| 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 % |
3.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
8.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
|
| 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 % |
3.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 86.5 % |
35.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.1 % |
0.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
4.6 % |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
6.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.3 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
0.6 % |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
9.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.2 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 54.5 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 7.8 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
|