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Lemon Grove Care And Rehabilitation Center

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About Lemon Grove Care And Rehabilitation Center

General Information

Legal Business NameLemon Grove Health Associates, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity158
Residents144
Percent Occupied91%
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 Lemon Grove Care And Rehabilitation Center

Lemon Grove Care And Rehabilitation 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

July 8, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

June 16, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

March 21, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 14 days
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionMake 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.
DFewPotential for HarmHealth InspectionMeet the legal definition of a skilled nursing facility or nursing facility.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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 InspectionEnsure 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.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
BSomePotential for Minimal HarmHealth InspectionProvide bedrooms that hold no more than 4 residents per room.

December 30, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

February 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
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.
CManyPotential for Minimal HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 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.
BSomePotential for Minimal HarmHealth InspectionProvide bedrooms that hold no more than 4 residents per room.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Lemon Grove Care And Rehabilitation 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.

3hr 10min
2hr 35min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
5hr 5min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 60min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.6%
74.8%
74.8%
74.8%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
94.4%
96.3%
95.3%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
73.5%
69.4%
77.8%
60.9%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
14.7%
12.9%
16.3%
8.8%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.4%
12.5%
19.9%
23.7%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose ability to move independently worsened
6.0%
5.3%
5.3%
2.2%
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antipsychotic medication
10.3%
9.9%
7.8%
15.8%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose need for help with daily activities has increased
4.1%
0.9%
1.6%
1.5%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who self-report moderate to severe pain
7.3%
9.3%
8.4%
6.5%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who lose too much weight
0.0%
3.1%
7.2%
3.1%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
0.9%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a urinary tract infection
0.9%
0.9%
2.8%
2.8%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents experiencing one or more falls with major injury
1.6%
2.4%
1.5%
3.7%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

84.9%
83.1%
84.4%
72.4%
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
75.8%
75.8%
75.8%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
67.7%
67.3%
68.5%
71.1%
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who made improvements in function
20.4%
16.2%
4.5%
5.6%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
0.6%
1.2%
1.6%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.3%
0.9%
1.6%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents with pressure ulcers that are new or worsened