| General |
| City |
| Fairfield |
Stockton |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 1255 Travis Blvd |
1221 Rosemarie Lane |
| Zip Code |
| 94,533 |
95,207 |
| Phone |
| 7,074,250,623 |
2,094,772,664 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 99 |
99 |
|
Total Number of Residents |
| 88 |
92 |
|
Percent of Occupied Beds |
| 89 % |
93 % |
| Health Survey Date |
| 12/8/2011 |
12/16/2011 |
| Fire Survey Date |
| 12/28/2011 |
12/20/2011 |
| 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? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
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 |
|
2 |
|
| Staff Information |
| Number of Residents |
| 88 |
92 |
| Number of RN Hours Per Resident Per Day |
| 1.23 |
0.73 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.67 |
0.42 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.89 |
1.14 |
| Number of CNA Hours Per Resident Per Day |
| 0.18 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.18 |
0.08 |
| 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: 06/04/2009date Of Correction: 03/14/2012 |
| 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: 06/04/2009date Of Correction: 03/14/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.5 % |
12.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
1.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.1 % |
6.3 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
75.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
45.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.8 % |
2.6 / 3 |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
1.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 62.8 % |
11.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.3 % |
94.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.1 % |
96.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 0.6 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2.6 / 3 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.1:1 |
9.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 37.7 % |
7.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.5 % |
7.1 % |
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
5.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.5 % |
43.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.4 % |
7.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
0.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
0.8 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.1 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 57.5 % |
9.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.5 % |
96.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.7 % |
97.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.3 % |
75.2 % |