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St. John Of God Retirement

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 151
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: 12/10/2011

Date of last standard health inspection: 12/10/2011
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, 01/00/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/00/2012 01/01/2003 2 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. 01/00/2012 02/04/2004 3 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/00/2012 02/04/2004 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/00/2012 01/01/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/00/2012 01/01/2003 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2012 00/02/2006 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/00/2012 00/02/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2012 00/02/2006 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/00/2012 00/02/2006 2 Few
Ensure residents maintain acceptable nutritional status. 01/00/2012 01/01/2003 3 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/00/2012 00/02/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/00/2012 02/04/2004 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/00/2012 02/04/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/00/2012 00/02/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/00/2012 01/01/2003 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 01/00/2012 01/01/2003 2 Some
Provide resident groups or resident family groups with private space to meet. 01/00/2012 01/01/2003 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/00/2012 00/02/2006 2 Few

Inspection, 02/05/2008

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. 02/05/2008 02/05/2010 2 Few
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. 02/05/2008 02/05/2010 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/05/2008 02/05/2010 2 Some
Put firmly secured handrails on each side of hallways. 02/05/2008 02/05/2010 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2008 02/05/2010 2 Few
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. 02/05/2008 02/05/2010 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. 02/05/2008 02/05/2010 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/05/2008 02/05/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2008 02/05/2010 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. 02/05/2008 02/05/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 02/05/2008 02/05/2010 2 Few

Inspection, 02/01/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/01/2003 00/00/0000 1 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/01/2003 00/00/0000 2 Some
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 02/01/2003 00/00/0000 2 Some
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 02/01/2003 00/00/0000 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/01/2003 00/00/0000 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/01/2003 00/00/0000 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/01/2003 00/00/0000 2 Some
Keep all essential equipment working safely. 02/01/2003 00/00/0000 2 Some
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. 02/01/2003 00/00/0000 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/01/2003 00/00/0000 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/01/2003 00/00/0000 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire a qualified dietician. 02/01/2003 00/00/0000 2 Many
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/01/2003 00/00/0000 2 Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/01/2003 00/00/0000 2 Some
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/01/2003 00/00/0000 2 Some
Store, cook, and serve food in a safe and clean way. 02/01/2003 00/00/0000 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. 02/01/2003 00/00/0000 2 Some
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. 02/01/2003 00/00/0000 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/01/2003 00/00/0000 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/01/2003 00/00/0000 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. 02/01/2003 00/00/0000 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/01/2003 00/00/0000 2 Few
Ensure residents maintain acceptable nutritional status. 02/01/2003 00/00/0000 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/01/2003 00/00/0000 2 Some
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. 02/01/2003 00/00/0000 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/01/2003 00/00/0000 1 Many
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/01/2003 00/00/0000 2 Few
Keep residents' personal and medical records private and confidential. 02/01/2003 00/00/0000 2 Some
Provide timely notification to the resident before transfer or discharge. 02/01/2003 00/00/0000 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/01/2003 00/00/0000 2 Some

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 1 out of 5 stars
Total Number of Residents 86 81 151
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 15 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 21 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 54 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 3 hours 19 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: 12/10/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/10/2011
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, 01/00/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/00/2012 01/08/2001 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/00/2012 01/08/2001 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/00/2012 01/08/2001 2 Some
An approved back-up procedure for a faulty fire alarm system. 01/00/2012 01/08/2001 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/00/2012 01/08/2001 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 01/00/2012 01/08/2001 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/00/2012 01/08/2001 2 Some

Inspection, 02/04/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly working alarms on sprinkler valves. 02/04/2008 02/04/2009 2 Some
Automatic sprinkler systems that have been maintained in working order. 02/04/2008 02/04/2009 2 Many
Portable fire extinguishers. 02/04/2008 02/04/2009 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/04/2008 02/04/2009 2 Some
Signs that state that exit doors are to be kept closed. 02/04/2008 02/04/2009 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/04/2008 02/04/2009 2 Many
Properly installed electrical wiring and equipment. 02/04/2008 02/04/2009 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/04/2008 02/04/2009 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 02/04/2008 02/04/2009 2 Few
An approved installation, maintenance and testing program for fire alarm systems. 02/04/2008 02/04/2009 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly sized and located linen or trash receptacles. 02/04/2008 02/04/2009 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/04/2008 02/04/2009 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/04/2008 02/04/2009 2 Many
Properly located and lighted Exit" signs." 02/04/2008 02/04/2009 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 02/04/2008 02/04/2009 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/04/2008 02/04/2009 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. 02/04/2008 02/04/2009 2 Few
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/04/2008 02/04/2009 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/04/2008 02/04/2009 2 Few
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 02/04/2008 02/04/2009 2 Few

Inspection, 02/00/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/00/2003 00/00/0000 2 Some
Portable fire extinguishers. 02/00/2003 00/00/0000 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/00/2003 00/00/0000 2 Few
Corridor and hallway doors that block smoke. 02/00/2003 00/00/0000 2 Few
Signs that state that exit doors are to be kept closed. 02/00/2003 00/00/0000 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/00/2003 00/00/0000 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/00/2003 00/00/0000 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 02/00/2003 00/00/0000 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 02/00/2003 00/00/0000 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/00/2003 00/00/0000 2 Few
Properly installed hallway dispensers for alcohol-based hand rub. 02/00/2003 00/00/0000 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 02/00/2003 00/00/0000 2 Some
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 02/00/2003 00/00/0000 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/00/2003 00/00/0000 2 Many
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. 02/00/2003 00/00/0000 2 Some
 

2468 South St Andrews Place
Los Angeles, CA 90018

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