| General |
| City |
| Los Angeles |
Baldwin Park |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 2625 S. Maple Ave. |
14475 Garden View Lane |
| Zip Code |
| 90,011 |
91,706 |
| Phone |
| 2,137,476,371 |
6,269,627,095 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 59 |
97 |
|
Total Number of Residents |
| 55 |
87 |
|
Percent of Occupied Beds |
| 93 % |
90 % |
| Health Survey Date |
| 9/2/2011 |
4/20/2012 |
| Fire Survey Date |
| 8/31/2011 |
4/20/2012 |
| 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? |
| Yes |
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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 1 |
|
|
| Staff Information |
| Number of Residents |
| 55 |
87 |
| Number of RN Hours Per Resident Per Day |
| 0.67 |
1.2 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.51 |
1.46 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.18 |
2.67 |
| Number of CNA Hours Per Resident Per Day |
| 75.2 |
0.26 |
| Number Therapy Hours Per Resident Per Day |
|
0.26 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/11/2011date Of Correction: 10/27/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.4 % |
18 % |
| 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 |
| 75.2 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.1:1 |
4.6 % |
| Percent of long-stay residents who lose too much weight |
| 8.9 / 9.9 |
16.9-24 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
58.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.6 % |
2.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.8 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
11.2-20 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
79.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
81.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
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 |
| 24.4 % |
19.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 6.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.3 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.1:1 |
3.7 % |
| Percent of long-stay residents who lose too much weight |
| 9.6 % |
13.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
65.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.5 - 2.0 |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who were physically restrained |
| 1.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
0.5 - 2.0 |
| Percent of short-stay residents who self-report moderate to severe pain |
|
11.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87 % |
78.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
78.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
2.4 % |