| General |
| City |
| Pomona |
Paradise |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 900 E. Harrison Ave |
1633 Cypress Lane |
| Zip Code |
| 91,767 |
95,969 |
| Phone |
| 9,096,245,061 |
5,308,779,316 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 5 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 3 |
2 |
|
RN Only Star Rating |
| 4 |
2 |
|
Number of Certified Beds |
| 64 |
126 |
| Total Number of Residents |
| 52 |
95 |
|
Percent of Occupied Beds |
| 81 % |
75 % |
| Health Survey Date |
| 12/14/2011 |
8/18/2011 |
| Fire Survey Date |
| 12/14/2011 |
8/30/2011 |
| 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 |
|
4 |
|
| Staff Information |
| Number of Residents |
| 48 |
95 |
| Number of RN Hours Per Resident Per Day |
| 1.04 |
0.49 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.93 |
0.76 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.96 |
1.25 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.12 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/30/2012date Of Correction: 07/10/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/18/2012date Of Correction: 07/11/2012 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 04/24/2012date Of Correction: 07/10/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 04/18/2012date Of Correction: 07/11/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.4 % |
14.7:1 |
| 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 % |
23.8:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.1 % |
3.9 % |
| Percent of long-stay residents who lose too much weight |
| 17.1:1 |
12.9 (55.2) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.4 % |
1.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.3 % |
12.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 4.4 % |
3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.50 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
33 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
84.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.2 % |
86.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.7 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.8 % |
15.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.1 % |
22.4:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 14.1 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
10.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 17.4 % |
35.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
4.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.8 % |
13 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.5 % |
4.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.5 % |
1.50 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.7 % |
34.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.7 % |
85.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.9 % |
79.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
23.9 % |