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MOUNT MIGUEL COVENANT VILLAGE

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MOUNT MIGUEL COVENANT VILLAGE VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City SPRING VALLEY   0% Nursing Homes USA have SPRING VALLEY
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 325 KEMPTON ST.  
Zip Code 91977  
Phone 6194794790  
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
90 
108.94
Total Number of Residents
68 
91.25
Percent of Occupied Beds
76 %
83.65 %
Health Survey Date 1/9/2012  
Fire Survey Date 1/12/2012  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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? 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
68 
91.38
Number of RN Hours Per Resident Per Day
0.43 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.92 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.35 
1.59
Number of CNA Hours Per Resident Per Day
0.13 
5.49
Number Therapy Hours Per Resident Per Day
0.13 
0.10
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: 03/15/2012
date Of Correction: 04/30/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
20 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
9.8 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
3.8 %
12.58 %
Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2 %
28.38 %
Percent of long-stay residents who were physically restrained
1.9 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
27.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79.5 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
76.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1.8 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
23.6 %
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
6.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
2.5 %
9.22 %
Percent of long-stay residents who lose too much weight
7.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
32.7 (90.9) %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.1 / 8.8 % 
Percent of long-stay residents with a urinary tract infection
8.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.6 %
19.86 %
Percent of long-stay residents who were physically restrained
1.7 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
33.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
79.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.2 %
17.34 %

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