| General |
| City |
| Pomona |
Los Angeles |
| State attribute explanation |
| Ca |
Ca |
| Street |
| 900 E. Harrison Ave |
2468 South St Andrews Place |
| Zip Code |
| 91,767 |
90,018 |
| Phone |
| 9,096,245,061 |
3,237,310,641 |
|
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 |
1 |
|
Number of Certified Beds |
| 64 |
151 |
| Total Number of Residents |
| 52 |
151 |
|
Percent of Occupied Beds |
| 81 % |
100 % |
| Health Survey Date |
| 12/14/2011 |
12/10/2011 |
| Fire Survey Date |
| 12/14/2011 |
12/10/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
Yes |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
3 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
|
1 |
|
| Staff Information |
| Number of Residents |
| 48 |
151 |
| Number of RN Hours Per Resident Per Day |
| 1.04 |
0.21 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.93 |
1 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.96 |
1.21 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/25/2010date Of Correction: 10/25/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.4 % |
11.5 % |
| 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 % |
8.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.1 % |
11.4 % |
| Percent of long-stay residents who lose too much weight |
| 17.1:1 |
9.4 / 10.4 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
49.2 % |
| 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 % |
15.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.4 % |
7.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
10 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20 % |
22 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
17.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.2 % |
22.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
2.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.7 % |
1.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.8 % |
9.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.8 % |
1.50 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.1 % |
9.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 14.1 % |
10.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
11 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 17.4 % |
48.8 % |
| 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 % |
12.8:1 |
| Percent of long-stay residents who have depressive symptoms |
| 3.5 % |
3.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
12.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.5 % |
2.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.7 % |
20.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.7 % |
18.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.9 % |
18.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
|
11.6:1 |