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TARZANA HEALTH REHAB CTR

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TARZANA HEALTH REHAB CTR VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City TARZANA   0% Nursing Homes USA have TARZANA
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 5650 RESEDA BLVD  
Zip Code 91356  
Phone 8188814261  
Overall Star Rating
1 
3.11
Health Inspections Star Rating
1 
2.83
Nurse Staffing Star Rating
3 
3.17
Quality Measures Star Rating
4 
3.31
RN Only Star Rating
3 
3.17
Number of Certified Beds
180 
108.94
Total Number of Residents
133 
91.25
Percent of Occupied Beds
74 %
83.65 %
Health Survey Date 3/29/2011  
Fire Survey Date 3/25/2011  
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
75.2 
56.31
# of deficiencies 69  
Staff Information
Number of Residents
136 
91.38
Number of RN Hours Per Resident Per Day
0.48 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.95 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.44 
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: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #3 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #4 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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #5 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #6 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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #7 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #8 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #9 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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #10 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #11 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: 07/02/2009
date Of Correction: 09/08/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #8 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #11 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #13 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #15 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #16 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: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #17 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 07/02/2009
date Of Correction: 09/08/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/10/2011
date Of Correction: 05/17/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #4 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: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/10/2011
date Of Correction: 05/17/2011 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #9 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: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #12 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/10/2011
date Of Correction: 05/17/2011 
Deficiency #13 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #14 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: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #15 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #17 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/10/2011
date Of Correction: 05/17/2011 
Deficiency #18 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/08/2012
date Of Correction: 07/09/2012 
Deficiency #19 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/10/2011
date Of Correction: 05/17/2011 
Deficiency #20 Scope: Few
level Of Harm: 2
deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Resident Assessment Deficiencies
Deficiency #1 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: 03/29/2012
date Of Correction: 04/27/2012 
Deficiency #2 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: 06/22/2009
date Of Correction: 09/14/2009 
Deficiency #3 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: 03/29/2012
date Of Correction: 04/27/2012 
Deficiency #4 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: 06/22/2009
date Of Correction: 09/14/2009 
Deficiency #5 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: 03/29/2012
date Of Correction: 04/27/2012 
Deficiency #6 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: 06/22/2009
date Of Correction: 09/14/2009 
Deficiency #7 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: 03/29/2012
date Of Correction: 04/27/2012 
Deficiency #8 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: 03/29/2012
date Of Correction: 04/27/2012 
Deficiency #9 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: 06/22/2009
date Of Correction: 09/14/2009 
Deficiency #10 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: 03/29/2012
date Of Correction: 04/27/2012 
Deficiency #11 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: 06/22/2009
date Of Correction: 09/14/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #4 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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #6 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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #8 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: 07/02/2009
date Of Correction: 09/08/2009 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 12/17/2009
date Of Correction: 01/06/2010 
Deficiency #10 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: 07/02/2009
date Of Correction: 09/08/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.7 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
8.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
6.8 %
12.58 %
Percent of long-stay residents who lose too much weight
7.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
84.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
3.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
1.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
19.5-24 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.7 %
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
0.9 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
3.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 7.9:1 % 
Percent of long-stay residents who lose too much weight
7.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
80.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
19.86 %
Percent of long-stay residents who were physically restrained
2.20 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
0.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
17.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
80.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
82.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
13.4 %
17.34 %

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