| General |
| City |
| Fairfield |
Eureka |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 1255 Travis Blvd |
6400 Purdue Drive |
| Zip Code |
| 94,533 |
95,503 |
| Phone |
| 7,074,250,623 |
7,074,435,668 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 99 |
99 |
|
Total Number of Residents |
| 88 |
62 |
|
Percent of Occupied Beds |
| 89 % |
63 % |
| Health Survey Date |
| 12/8/2011 |
10/21/2011 |
| Fire Survey Date |
| 12/28/2011 |
10/25/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| 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 |
62 |
| Number of RN Hours Per Resident Per Day |
| 1.23 |
0.9 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.67 |
0.95 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.89 |
1.85 |
| Number of CNA Hours Per Resident Per Day |
| 0.18 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.18 |
0.13 |
| 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: 05/06/2009date Of Correction: 08/25/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 10/29/2010date Of Correction: 12/10/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 05/05/2009date Of Correction: 07/01/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/17/2012date Of Correction: 06/26/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/05/2009date Of Correction: 07/01/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.5 % |
23.1 % |
| 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 |
|
7.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.1 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.3 % |
1.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
24.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.8 % |
3.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
13 % |
| 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 % |
4.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.3 % |
58.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.1 % |
58.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 0.6 % |
4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
3.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.1:1 |
22.9 % |
| 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 % |
16.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.5 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
3.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.5 % |
33 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.4 % |
0.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
17.2 % |
| 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 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 57.5 % |
21 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.5 % |
45.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.7 % |
51.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.3 % |
5.2 % |