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Country Villa Laguna Hills Healthcare Center

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 208
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: 02/27/2012

Date of last standard health inspection: 02/27/2012
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, 00/06/2012

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. 00/06/2012 02/04/2001 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/06/2012 02/04/2001 1 Some
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/06/2012 02/04/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/06/2012 02/04/2001 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2012 02/04/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/06/2012 02/04/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/06/2012 02/04/2001 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/06/2012 02/04/2001 2 Some
Provide food in a way that meets a resident's needs. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 1 Some
Store, cook, and serve food in a safe and clean way. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/06/2012 02/04/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2012 02/04/2001 2 Few
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. 00/06/2012 02/04/2001 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 00/06/2012 02/04/2001 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/06/2012 02/04/2001 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 2 Few
Ensure residents maintain acceptable nutritional status. 00/06/2012 02/04/2001 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/06/2012 02/04/2001 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/06/2012 02/04/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/06/2012 02/04/2001 2 Some
Make sure that doctors visit residents regularly, as required. 00/06/2012 02/04/2001 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. 00/06/2012 02/04/2001 2 Few
Give residents a notice of rights, rules, services and charges. 00/06/2012 02/04/2001 1 Some
Allow residents to self-administer drugs if determined safe. 00/06/2012 02/04/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2012 02/04/2001 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/06/2012 02/04/2001 2 Few

Inspection, 01/00/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/00/2009 01/00/2010 investigation identification
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. 01/00/2009 01/00/2010 2 Few

Inspection, 00/03/2007

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 00/03/2007 00/01/2008 and serve food in a safe and clean way. cook

Inspection, 02/07/2002

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. 02/07/2002 01/06/2005 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 02/07/2002 01/08/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/07/2002 01/08/2004 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. 02/07/2002 01/08/2004 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. 02/07/2002 01/08/2004 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. 02/07/2002 01/08/2004 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. 02/07/2002 01/06/2005 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/07/2002 01/08/2004 3 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. 02/07/2002 01/08/2004 2 Few
Ensure residents maintain acceptable nutritional status. 02/07/2002 01/08/2004 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. 02/07/2002 01/08/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/07/2002 01/08/2004 2 Few
Maintain 15 months of resident assessments in the resident's active clinical record. 02/07/2002 01/08/2004 1 Many
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. 02/07/2002 01/08/2004 2 Few
Allow residents to self-administer drugs if determined safe. 02/07/2002 01/08/2004 2 Few
Provide timely notification to the resident before transfer or discharge. 02/07/2002 01/08/2004 1 Some

Inspection, 02/02/2002

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. 02/02/2002 02/02/2003 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 02/02/2002 02/02/2003 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2002 02/02/2003 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. 02/02/2002 02/02/2003 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/02/2002 02/02/2003 2 Few
Keep all essential equipment working safely. 02/02/2002 02/02/2003 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/02/2002 02/02/2003 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. 02/02/2002 02/02/2003 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. 02/02/2002 02/02/2003 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. 02/02/2002 02/02/2003 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2002 02/02/2003 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/02/2002 02/02/2003 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/02/2002 02/02/2003 2 Few
Provide routine and 24-hour emergency dental care for each resident. 02/02/2002 02/02/2003 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/02/2002 02/02/2003 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. 02/02/2002 02/02/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/02/2002 02/02/2003 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 4 out of 5 stars
Total Number of Residents 86 81 184
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 34 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 34 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: 02/29/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/29/2012
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, 00/07/2012

Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/07/2012 01/01/2001 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2012 01/01/2001 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. 00/07/2012 01/01/2001 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/07/2012 01/01/2001 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. 00/07/2012 01/01/2001 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/07/2012 01/01/2001 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/07/2012 01/01/2001 2 Few

Inspection, 02/09/2002

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/09/2002 02/00/2003 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/09/2002 02/00/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/09/2002 02/00/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/09/2002 02/00/2003 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/09/2002 02/00/2003 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. 02/09/2002 02/00/2003 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/09/2002 02/00/2003 2 Some

Inspection, 02/07/2002

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/07/2002 01/09/2003 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. 02/07/2002 01/09/2003 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/07/2002 01/09/2003 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/07/2002 01/09/2003 2 Few
 

24452 Health Center Drive
Laguna Hills, CA 92653

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