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COUNTRY VILLA HACIENDA HEALTHCARE

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COUNTRY VILLA HACIENDA HEALTHCARE VS
Nursing Homes USA
General
City SAN BERNARDINO   0.1% Nursing Homes USA have SAN BERNARDINO
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 1311 EAST DATE STREET  
Zip Code 92404  
Phone 9098823316  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
99 
108.94
Total Number of Residents
85 
91.25
Percent of Occupied Beds
86 %
83.65 %
Health Survey Date 8/23/2011  
Fire Survey Date 12/15/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? Yes  1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 15  
Staff Information
Number of Residents
85 
91.38
Number of RN Hours Per Resident Per Day
0.41 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.86 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.27 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/03/2012
date Of Correction: Not Available 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/03/2012
date Of Correction: Not Available 
Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/03/2012
date Of Correction: Not Available 
Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/03/2012
date Of Correction: Not Available 
Deficiency #5 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 04/03/2012
date Of Correction: Not Available 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 03/26/2012
date Of Correction: Not Available 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/26/2012
date Of Correction: Not Available 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 03/26/2012
date Of Correction: Not Available 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
7.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased 10.1:1 % 
Percent of long-stay residents who self-report moderate to severe pain
21.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
20.4 %
12.58 %
Percent of long-stay residents who lose too much weight
2.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
5.7 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
35.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
82.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased 7.9:1 % 
Percent of long-stay residents who self-report moderate to severe pain
19.6 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 16.3:1 % 
Percent of long-stay residents who lose too much weight
3.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.3 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
19.86 %
Percent of long-stay residents who were physically restrained
4.6 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
35.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
48.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
69.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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