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Country Villa Hacienda Healthcare

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 99
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: 08/23/2011

Date of last standard health inspection: 08/23/2011
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

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 00/04/2001 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/00/2012 00/04/2001 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/00/2012 00/04/2001 1 Many
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. 01/00/2012 00/04/2001 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. 01/00/2012 00/04/2001 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2012 00/04/2001 2 Few
Ensure residents maintain acceptable nutritional status. 01/00/2012 00/04/2001 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/00/2012 00/04/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/00/2012 00/04/2001 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/00/2012 00/04/2001 2 Few

Inspection, 02/03/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/03/2008 01/06/2012 3 Some
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 02/03/2008 01/06/2012 3 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/03/2008 02/06/2001 2 Few
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. 02/03/2008 01/06/2012 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/03/2008 01/06/2012 3 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/03/2008 01/06/2012 2 Some
Provide adequate and comfortable lighting levels in all areas. 02/03/2008 01/06/2012 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/03/2008 01/06/2012 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/03/2008 01/06/2012 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/03/2008 01/06/2012 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/03/2008 02/06/2001 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/03/2008 01/06/2012 1 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/03/2008 01/06/2012 2 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. 02/03/2008 01/06/2012 4 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/03/2008 02/06/2001 3 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/03/2008 01/06/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/03/2008 02/06/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2008 02/06/2001 4 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/03/2008 01/06/2012 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. 02/03/2008 01/06/2012 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/03/2008 01/06/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record. 02/03/2008 01/06/2012 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/03/2008 01/02/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/03/2008 01/06/2012 2 Few
Try to resolve each resident's complaints quickly. 02/03/2008 01/06/2012 3 Few
Provide timely notification to the resident before transfer or discharge. 02/03/2008 01/06/2012 1 Many
Tell the resident or the resident 02/03/2008 01/06/2012 1 Many
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. 02/03/2008 02/02/2002 1 Some
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/03/2008 01/06/2012 3 Few
Reasonably accommodate the needs and preferences of each resident. 02/03/2008 02/06/2001 2 Few

Inspection, 00/03/2008

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. 00/03/2008 02/03/2008 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. 00/03/2008 02/03/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/03/2008 02/03/2008 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/03/2008 02/03/2008 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/03/2008 02/03/2008 2 Some
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. 00/03/2008 02/03/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2008 02/03/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/03/2008 02/03/2008 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide written records when a resident is transferred or discharged. 00/03/2008 02/03/2008 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/03/2008 02/03/2008 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/03/2008 02/03/2008 2 Few

Inspection, 00/03/2004

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. 00/03/2004 00/00/0000 1 Some

Inspection, 02/06/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get x-rays and other tests in a timely manner to meet the needs of residents. 02/06/2003 00/00/0000 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Tell the resident or the resident 02/06/2003 00/00/0000 2 Few

Inspection, 01/01/2003

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 01/01/2003 02/06/2003 Few with timetables and actions that can be measured.

Inspection, 02/05/2002

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 02/05/2002 01/07/2003 Few with timetables and actions that can be measured.

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 4 out of 5 stars
Total Number of Residents 86 81 75
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 40 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 39 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 1 hour
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 29 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: 12/15/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/15/2011
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, 01/05/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/05/2012 02/04/2001 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/05/2012 02/04/2001 2 Some
Signs that state that exit doors are to be kept closed. 01/05/2012 02/04/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/05/2012 02/04/2001 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/05/2012 02/04/2001 1 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/05/2012 02/04/2001 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 01/05/2012 02/04/2001 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. 01/05/2012 02/04/2001 2 Some

Inspection, 00/06/2012

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/06/2012 02/07/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/06/2012 02/07/2012 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/06/2012 02/07/2012 2 Few

Inspection, 00/02/2008

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/02/2008 02/02/2008 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2008 02/02/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/02/2008 02/02/2008 2 Few
 

1311 East Date Street
San Bernardino, CA 92404

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