| General |
| City |
| Newbury Park |
Los Angeles |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 2929 Theresa Dr |
5310 Fountain Ave |
| Zip Code |
| 91,320 |
90,029 |
| Phone |
| 8,054,983,644 |
3,234,619,961 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 61 |
99 |
|
Total Number of Residents |
| 57 |
92 |
|
Percent of Occupied Beds |
| 93 % |
93 % |
| Health Survey Date |
| 1/13/2012 |
3/19/2012 |
| Fire Survey Date |
| 1/11/2012 |
3/16/2012 |
| 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 |
Yes |
| 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 |
2 |
|
| Staff Information |
| Number of Residents |
| 57 |
92 |
| Number of RN Hours Per Resident Per Day |
| 1.13 |
1.02 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.17 |
1.27 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
2.28 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.19 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.19 |
| 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: 01/27/2011date Of Correction: 04/18/2011 |
| 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: 03/19/2012date Of Correction: 04/20/2012 |
| 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 % |
13.1:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.2 % |
26 % |
| Percent of long-stay residents who lose too much weight |
| 12 % |
75.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
5.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 10 % |
6.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 25.9 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 9.3 % |
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
12.8:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.5 % |
83.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.3 % |
83.5 % |
| 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 % |
1.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.3 (79.3) |
16.9-24 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.6 % |
4.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.3 % |
27.5 % |
| Percent of long-stay residents who lose too much weight |
| 7.4 % |
1.50 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 62.1 % |
61.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.5 % |
6.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.3:1 |
7.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 22.8 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 7.1 % |
2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
10.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.1 % |
83.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.7 % |
82.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
0.9 % |