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Lake Forest Nursing Center

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 175
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 01/03/2011

Date of last standard health inspection: 01/03/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in CA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in CA: 0 - 16

Inspection, 02/09/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly care for residents needing special services 02/09/2011 02/09/2012 colostomy including: injections
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2011 02/09/2012 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/01/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 01/01/2009 01/04/2010 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/01/2009 01/04/2010 2 Few
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 01/01/2009 01/04/2010 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/01/2009 01/04/2010 2 Few
Maintain comfortable sound levels. 01/01/2009 01/04/2010 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2009 01/04/2010 2 Few
Dispose of garbage and refuse properly. 01/01/2009 01/04/2010 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/01/2009 01/04/2010 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/01/2009 01/04/2010 2 Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/01/2009 01/04/2010 1 Some
Store, cook, and serve food in a safe and clean way. 01/01/2009 01/04/2010 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/01/2009 01/04/2010 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/01/2009 01/04/2010 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/01/2009 01/04/2010 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/01/2009 01/04/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2009 01/04/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2009 01/04/2010 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/01/2009 01/04/2010 2 Some
Ensure residents maintain acceptable nutritional status. 01/01/2009 01/04/2010 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/01/2009 01/04/2010 1 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/01/2009 01/04/2010 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/01/2009 01/04/2010 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 01/01/2009 01/04/2010 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2009 01/04/2010 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/01/2009 01/04/2010 2 Few

Inspection, 02/01/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/01/2008 02/01/2009 and that incontinent patients receive proper servi unless medically necessary

Inspection, 01/04/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2008 01/04/2009 3 Few

Inspection, 02/02/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2006 02/02/2007 2 Few

Inspection, 02/03/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2004 02/03/2005 2 Few

Inspection, 01/00/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/00/2004 00/06/2006 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/00/2004 00/06/2006 3 Few
Have a program that investigates, controls and keeps infection from spreading. 01/00/2004 00/06/2006 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/00/2004 00/06/2006 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide food in a way that meets a resident's needs. 01/00/2004 00/06/2006 1 Some
Provide special eating equipment and utensils for each resident who needs them. 01/00/2004 00/06/2006 2 Few
Store, cook, and serve food in a safe and clean way. 01/00/2004 00/06/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/00/2004 00/06/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2004 00/06/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2004 00/06/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 01/00/2004 00/06/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/00/2004 00/06/2006 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/00/2004 00/06/2006 2 Few

Inspection, 01/09/2002

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2002 01/09/2003 2 Few

Inspection, 00/03/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/03/2001 00/04/2002 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/03/2001 00/04/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2001 00/04/2002 2 Few
Maintain comfortable sound levels. 00/03/2001 00/04/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2001 00/04/2002 2 Few
Dispose of garbage and refuse properly. 00/03/2001 00/04/2002 1 Some
Have a program that investigates, controls and keeps infection from spreading. 00/03/2001 00/04/2002 2 Some
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. 00/03/2001 00/04/2002 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/03/2001 00/04/2002 2 Few
Have enough backup water supply for essential areas of the nursing home. 00/03/2001 00/04/2002 2 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide food in a way that meets a resident's needs. 00/03/2001 00/04/2002 1 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/03/2001 00/04/2002 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/03/2001 00/04/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2001 00/04/2002 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/03/2001 00/04/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/03/2001 00/04/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2001 00/04/2002 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 00/03/2001 00/04/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2001 00/04/2002 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/03/2001 00/04/2002 2 Some
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/03/2001 00/04/2002 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/03/2001 00/04/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2001 00/04/2002 2 Some
Maintain 15 months of resident assessments in the resident's active clinical record. 00/03/2001 00/04/2002 1 Many
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/03/2001 00/04/2002 2 Few
Tell the resident or the resident 00/03/2001 00/04/2002 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2001 00/04/2002 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/03/2001 00/04/2002 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in CA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 81 106
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 2 hours 7 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 51 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 1 hour 15 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 23 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 01/04/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 01/04/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in CA: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in CA: 0 - 5

Inspection, 01/05/2009

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/05/2009 02/08/2009 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/05/2009 02/08/2009 2 Some

Inspection, 01/00/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/00/2004 00/01/2005 1 Some
Portable fire extinguishers. 01/00/2004 00/01/2005 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/00/2004 00/01/2005 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/00/2004 00/01/2005 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/00/2004 00/01/2005 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/00/2004 00/01/2005 2 Few
Properly installed electrical wiring and equipment. 01/00/2004 00/01/2005 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/00/2004 00/01/2005 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/00/2004 00/01/2005 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/00/2004 00/01/2005 2 Few

Inspection, 00/04/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/04/2001 01/08/2001 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/04/2001 01/08/2001 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/04/2001 01/08/2001 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/04/2001 01/08/2001 2 Some
 

25652 Old Trabuco Road
Lake Forest, CA 92630

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