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Royal Care Skilled Nursing Ctr

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About Royal Care Skilled Nursing Ctr

General Information

Legal Business NameCovenant Care California, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1978 (39 years)
Capacity98
Residents75
Percent Occupied77%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Royal Care Skilled Nursing Ctr

Royal Care Skilled Nursing Ctr
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 16, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

August 5, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintOperate and provide services according to Federal, State, and local laws and professional standards.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Royal Care Skilled Nursing Ctr require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 35min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
35min
1hr 5min
ReportedExpected
RN
3hr 40min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

57.1%
57.4%
57.4%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
54.0%
59.6%
24.6%
94.6%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
45.0%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.1%
19.2%
9.6%
13.5%
Q1 2015Q2 2015Q3 2015CA
Received an Antipsychotic Medication
23.1%
8.3%
16.3%
11.3%
Q1 2015Q2 2015Q3 2015CA
Need for Help with ADLs has Increased
1.2%
0.0%
-
5.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
7.9%
12.5%
3.6%
6.2%
Q1 2015Q2 2015Q3 2015CA
Lose Too Much Weight
8.1%
7.5%
2.1%
6.1%
Q1 2015Q2 2015Q3 2015CA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Have Depressive Symptoms
1.6%
1.8%
3.6%
3.8%
Q1 2015Q2 2015Q3 2015CA
With a Urinary Tract Infection
1.6%
1.8%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
5.7%
4.3%
6.7%
3.2%
Q1 2015Q2 2015Q3 2015CA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

70.1%
75.2%
55.1%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
74.7%
74.0%
74.0%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
4.3%
10.2%
11.1%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
0.0%
1.7%
2.9%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.6%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened