| General |
| City |
| Fairfield |
Fairfield |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 1255 Travis Blvd |
1260 Travis Blvd |
| Zip Code |
| 94,533 |
94,533 |
| Phone |
| 7,074,250,623 |
7,074,250,669 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 99 |
90 |
|
Total Number of Residents |
| 88 |
73 |
|
Percent of Occupied Beds |
| 89 % |
81 % |
| Health Survey Date |
| 12/8/2011 |
1/26/2012 |
| Fire Survey Date |
| 12/28/2011 |
2/1/2012 |
| 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 |
| 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 |
|
5 |
|
| Staff Information |
| Number of Residents |
| 88 |
73 |
| Number of RN Hours Per Resident Per Day |
| 1.23 |
1.07 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.67 |
0.27 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.89 |
1.34 |
| 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: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/17/2009date Of Correction: 03/09/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 04/05/2012date Of Correction: 06/01/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 04/05/2012date Of Correction: 06/01/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 04/05/2012date Of Correction: 06/01/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Train All Employees On What To Do In An Emergency, And Carry Out Announced Staff Drills.survey Date: 11/19/2010date Of Correction: 01/26/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.5 % |
13.6-28 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.3 % |
2.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
9.4 / 10.4 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.1 % |
10.8 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
9.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
6.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.8 % |
6.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 62.8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.3 % |
69 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.1 % |
69 % |
| 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 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.1:1 |
15.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
2.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 37.7 % |
8.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.5 % |
11.6:1 |
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
6.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.5 % |
51.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.4 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
8.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.1 % |
0.5 - 2.0 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 57.5 % |
37.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.5 % |
68.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.7 % |
69.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.3 % |
75.2 % |