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Country Villa Wilshire Convalescent Center

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About Country Villa Wilshire Convalescent Center

General Information

Legal Business NameRrt A Partnership
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1973 (43 years)
Capacity81
Residents74
Percent Occupied91%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Country Villa Wilshire Convalescent Center

Country Villa Wilshire Convalescent Center
was reviewed by Medicare to have a rating of 2 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

November 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmFire Safety InspectionExit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
ESomePotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
BSomePotential for Minimal HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Country Villa Wilshire Convalescent Center 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 35min
2hr 35min
ReportedExpected
CNA
1hr
45min
ReportedExpected
LPN
35min
1hr 15min
ReportedExpected
RN
4hr 10min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

90.4%
88.5%
86.0%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
86.5%
96.8%
100.0%
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
14.6%
-
-
13.5%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
16.7%
-
-
11.3%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
2.3%
-
-
5.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
8.3%
-
-
6.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
4.8%
-
-
6.1%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
-
-
1.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
6.2%
-
-
3.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
0.0%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
4.1%
-
-
3.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
3.8%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

83.3%
92.8%
100.0%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
79.7%
77.6%
78.4%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
5.0%
4.1%
4.3%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
2.4%
2.3%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.9%
2.5%
1.3%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened