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Country Villa West Covina Healthcare Center
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850 S. Sunkist Ave.
West Covina, CA 91790
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 97 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| 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: 11/02/2011
| Date of last standard health inspection: | 11/02/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 11 |
| Average number of Health Deficiencies in CA: | 10 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in CA: | 0 - 49 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide rooms that are big enough for each resident. | 11/02/2011 | 12/16/2011 | Potential for minimal harm | Pattern |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Properly mark drugs and other similar products. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide services to meet the needs and preferences of each resident. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 08/06/2010
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 08/06/2010 | 09/07/2010 | Potential for minimal harm | Widespread |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide rooms that are big enough for each resident. | 08/06/2010 | 09/07/2010 | Potential for minimal harm | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 08/06/2010 | 09/07/2010 | Minimal harm or potential for actual harm | Pattern |
| Properly mark drugs and other similar products. | 08/06/2010 | 09/07/2010 | Potential for minimal harm | Pattern |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | 08/06/2010 | 09/07/2010 | Potential for minimal harm | Pattern |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | 08/06/2010 | 09/07/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 08/06/2010 | 09/07/2010 | Potential for minimal harm | Pattern |
| Provide services to meet the needs and preferences of each resident. | 08/06/2010 | 09/07/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 04/17/2009
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 04/17/2009 | 05/08/2009 | Potential for minimal harm | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly mark drugs and other similar products. | 04/17/2009 | 05/08/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop/implement required procedures for the administration of immunizations. | 04/17/2009 | 05/08/2009 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide services to meet the needs and preferences of each resident. | 04/17/2009 | 05/08/2009 | Minimal harm or potential for actual harm | Isolated |
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 | 2 out of 5 stars |
| Total Number of Residents | 86 | 80 | 91 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 34 minutes | 1 hour 13 minutes |
|
RN Hours per Resident per Day |
40 minutes | 43 minutes | 30 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | 43 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 37 minutes | 2 hours 33 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
| Percent of high-risk long-stay residents who have pressure sores | 5% |
| Percent of long-stay residents given influenza vaccination during the flu season | 81% |
| Percent of long-stay residents who are more depressed or anxious | 13% |
| Percent of long-stay residents who had a urinary tract infection | 7% |
| Percent of long-stay residents who have moderate to severe pain | 2% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 2% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 3% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 4% |
| Percent of long-stay residents whose need for help with daily activities has increased | 11% |
| Percent of low-risk long-stay residents who have pressure sores | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 73% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 1% |
| Percent of short-stay residents given influenza vaccination during the flu season | 73% |
| Percent of short-stay residents who had moderate to severe pain | 26% |
| Percent of short-stay residents who have delirium | 1% |
| Percent of short-stay residents who have pressure sores | 15% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 89% |
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: 11/02/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 11/02/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 2 |
| Average number of Fire Safety Deficiencies in CA: | 5 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in CA: | 0 - 20 |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 11/02/2011 | 12/16/2011 | Minimal harm or potential for actual harm | Pattern |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 11/02/2011 | 12/16/2011 | Potential for minimal harm | Pattern |
Inspection, 08/04/2010
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 08/04/2010 | 08/16/2010 | Minimal harm or potential for actual harm | Pattern |
