| General |
| City |
| Pomona |
Claremont |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 900 E. Harrison Ave |
590 S. Indian Hill Blvd. |
| Zip Code |
| 91,767 |
91,711 |
| Phone |
| 9,096,245,061 |
9,096,244,511 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 3 |
5 |
|
RN Only Star Rating |
| 4 |
2 |
|
Number of Certified Beds |
| 64 |
99 |
| Total Number of Residents |
| 52 |
91 |
|
Percent of Occupied Beds |
| 81 % |
92 % |
| Health Survey Date |
| 12/14/2011 |
7/17/2011 |
| Fire Survey Date |
| 12/14/2011 |
7/15/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
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? |
| Yes |
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 |
| 48 |
91 |
| Number of RN Hours Per Resident Per Day |
| 1.04 |
0.59 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.93 |
0.74 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.96 |
1.33 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.06 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/02/2011date Of Correction: Not Available |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.4 % |
4.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.2 % |
3.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.1 % |
12.8:1 |
| Percent of long-stay residents who lose too much weight |
| 17.1:1 |
1.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
2.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.3 % |
1.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.4 % |
75.2 % |
| 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 |
| 20 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
96.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.2 % |
96.4 % |
| 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 |
| 6.7 % |
4.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.8 % |
6.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.1 % |
3.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 14.1 % |
9.9:1 |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
1.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 17.4 % |
56.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
3.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.8 % |
5.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.5 % |
75.2 % |
| 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 |
| 3.5 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.7 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.7 % |
92 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.9 % |
12.1:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
75.2 % |