| General |
| City |
| Lake View Terrace |
Lakeport |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 11723 Fenton Avenue |
625 16th Street |
| Zip Code |
| 91,342 |
95,453 |
| Phone |
| 8,188,990,251 |
7,072,636,101 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
2 |
|
RN Only Star Rating |
| 1 |
4 |
|
Number of Certified Beds |
| 99 |
90 |
|
Total Number of Residents |
| 84 |
63 |
|
Percent of Occupied Beds |
| 85 % |
70 % |
| Health Survey Date |
| 12/19/2011 |
5/19/2011 |
| Fire Survey Date |
| 12/19/2011 |
6/7/2011 |
| 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 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
|
4 |
|
| Staff Information |
| Number of Residents |
| 84 |
67 |
| Number of RN Hours Per Resident Per Day |
| 0.32 |
0.54 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.76 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.04 |
1.3 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.08 |
| 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: 03/10/2011date Of Correction: 04/21/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.survey Date: 06/02/2009date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 06/02/2009date Of Correction: 12/28/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 06/02/2009date Of Correction: 12/28/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 80 % |
22.4:1 |
| 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 % |
7.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
8.1 / 8.8 |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
12.5 % |
| 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 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.2 % |
12.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.9 % |
2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
35.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
67.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
63.8 % |
| 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 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 86.5 % |
28.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.1 % |
6.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
5.6:1 |
| Percent of long-stay residents who lose too much weight |
| 2.5 % |
8.9 / 9.9 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26 % |
52.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.3 % |
11.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
1.8 % |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
6.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.2 % |
29.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 54.5 % |
75.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 7.8 % |
73.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
25.6 (78.1) |