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COUNTRY VILLA SEAL BEACH HEALTHCARE CENTER

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COUNTRY VILLA SEAL BEACH HEALTHCARE CENTER VS
Nursing Homes USA
General
City SEAL BEACH   0% Nursing Homes USA have SEAL BEACH
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 3000 BEVERLY MANOR RD  
Zip Code 90740  
Phone 5625982477  
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
198 
108.94
Total Number of Residents
190 
91.25
Percent of Occupied Beds
96 %
83.65 %
Health Survey Date 5/19/2011  
Fire Survey Date 5/24/2011  
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 RESIDENT   66% Nursing Homes USA have RESIDENT
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? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 19  
Staff Information
Number of Residents
190 
91.38
Number of RN Hours Per Resident Per Day
0.64 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.06 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.7 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Mistreatment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Deficiency #2 Scope: Many
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 12/12/2011
date Of Correction: 03/14/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 12/12/2011
date Of Correction: 03/14/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/12/2011
date Of Correction: 03/14/2012 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 12/12/2011
date Of Correction: 03/14/2012 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 12/12/2011
date Of Correction: 03/14/2012 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 12/12/2011
date Of Correction: 03/14/2012 
Administration Deficiencies
Deficiency #1 Haha 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 05/29/2012
date Of Correction: 06/29/2012 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 04/19/2012
date Of Correction: 05/19/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 12/12/2011
date Of Correction: 02/01/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
6.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.7 %
12.58 %
Percent of long-stay residents who lose too much weight
8.3 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
75.7 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
15 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
2.20 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
15.1 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
57.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
61.5 %
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
0.7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
13.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 8.1 / 8.8 % 
Percent of long-stay high-risk residents with pressure ulcers
7.7 %
9.22 %
Percent of long-stay residents who lose too much weight
8.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
73.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
14.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.3 %
19.86 %
Percent of long-stay residents who were physically restrained
1.50 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
17.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
53.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
59.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
7.5 %
17.34 %

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