| General |
| City |
| Los Banos |
Stockton |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 931 Idaho Ave. |
4545 Shelley Court |
| Zip Code |
| 93,635 |
95,207 |
| Phone |
| 2,098,260,790 |
2,094,770,271 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 2 |
2 |
|
Quality Measures Star Rating |
| 1 |
3 |
|
RN Only Star Rating |
| 2 |
4 |
|
Number of Certified Beds |
| 59 |
119 |
|
Total Number of Residents |
| 50 |
92 |
|
Percent of Occupied Beds |
| 85 % |
77 % |
| Health Survey Date |
| 6/10/2011 |
3/23/2012 |
| Fire Survey Date |
| 6/29/2011 |
4/5/2012 |
| 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? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
3 |
| # of deficiencies |
|
1 |
|
| Staff Information |
| Number of Residents |
| 43 |
92 |
| Number of RN Hours Per Resident Per Day |
| 0.47 |
0.73 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.79 |
0.57 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.26 |
1.31 |
| Number of CNA Hours Per Resident Per Day |
| 0.17 |
0.18 |
| Number Therapy Hours Per Resident Per Day |
| 0.17 |
0.18 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/04/2011date Of Correction: 04/13/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 22.5 % |
5.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
23.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 26.7 % |
10.3:1 |
| Percent of long-stay residents who lose too much weight |
| 21.6 % |
6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
52.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 21.1 % |
2.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.5 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 25 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.7 (69.3) |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 61.5 % |
15.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 62.5 % |
22.4:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.8 % |
6.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19.2 % |
21.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 25.6 (78.1) |
7.9:1 |
| Percent of long-stay residents who lose too much weight |
| 13.9 / 15.3 |
6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
53.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 17.9 (64.2) |
2 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.6 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 24 % |
2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4 % |
2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.1 (71.8) |
32.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 62.1 % |
23.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 67.6 % |
24.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
4.6 % |