| General |
| City |
| Newbury Park |
Pomona |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 2929 Theresa Dr |
2351 S Towne Avenue |
| Zip Code |
| 91,320 |
91,766 |
| Phone |
| 8,054,983,644 |
9,096,281,245 |
|
Overall Star Rating |
| 5 |
4 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
5 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 61 |
102 |
|
Total Number of Residents |
| 57 |
101 |
|
Percent of Occupied Beds |
| 93 % |
99 % |
| Health Survey Date |
| 1/13/2012 |
6/26/2011 |
| Fire Survey Date |
| 1/11/2012 |
6/26/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| 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 |
| 57 |
101 |
| Number of RN Hours Per Resident Per Day |
| 1.13 |
0.66 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.17 |
0.68 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.34 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.13 |
| 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: 03/13/2012date Of Correction: Not Available |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25 % |
38.5 % |
| 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 |
|
3.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.2 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 12 % |
2.20 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
53.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
2.6 / 3 |
| Percent of long-stay residents with a urinary tract infection |
| 10 % |
7.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 25.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 9.3 % |
8.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
16.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.5 % |
34.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.3 % |
31.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.3 (79.3) |
45.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.6 % |
2.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.3 % |
1.2 % |
| Percent of long-stay residents who lose too much weight |
| 7.4 % |
2.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.1 % |
54 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.5 % |
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.3:1 |
6 % |
| Percent of long-stay residents who have depressive symptoms |
| 22.8 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 7.1 % |
9.4 / 10.4 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
0.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
8.1 / 8.8 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.1 % |
33.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.7 % |
29.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 % |