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FREEDOM VILLAGE HEALTHCARE CENTER

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FREEDOM VILLAGE HEALTHCARE CENTER VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 1 % 
City LAKE FOREST   0% Nursing Homes USA have LAKE FOREST
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 23442 EL TORO ROAD  
Zip Code 92630  
Phone 9494720277  
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
52 
108.94
Total Number of Residents
47 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 3/2/2012  
Fire Survey Date 3/6/2012  
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 - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA 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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
16 
7.48
Staff Information
Number of Residents
47 
91.38
Number of RN Hours Per Resident Per Day
0.65 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.13 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.78 
1.59
Number of CNA Hours Per Resident Per Day
0.14 
5.49
Number Therapy Hours Per Resident Per Day
0.14 
0.10
Environmental Deficiencies
Deficiency #1 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: 10/03/2011
date Of Correction: 11/02/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
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: 10/03/2011
date Of Correction: 11/02/2011 
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: 10/03/2011
date Of Correction: 11/02/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #2 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: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 10/03/2011
date Of Correction: 11/02/2011 
Deficiency #2 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: 10/03/2011
date Of Correction: 11/02/2011 
Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %
32.95 %
Percent of short-stay residents who self-report moderate to severe pain
24 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
66.7 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
16.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.3 %
9.22 %
Percent of long-stay residents who lose too much weight
3.2 %
8.50 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection 19.4:1 % 
Percent of long-stay residents who have depressive symptoms
3.2 %
19.86 %
Percent of long-stay residents who were physically restrained
3.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
18.6 (65.5) %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
68.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
73.9 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 12.8:1 % 

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