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Brookdale San Juan Capistrano

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About Brookdale San Juan Capistrano

General Information

Legal Business NameS-H Opco San Juan Capistrano LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 31, 2000 (17 years)
Capacity45
Residents30
Percent Occupied67%
Program ParticipationMedicare
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brookdale San Juan Capistrano

Brookdale San Juan Capistrano
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

November 1, 2016 - 5 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet 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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

September 30, 2016 - 6 months 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.

June 20, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.

June 13, 2016 - 9 months 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.

September 25, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
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 InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionDevelop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

April 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.

February 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

November 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

October 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential 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.
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential 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 InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionQuickly tell the resident's doctor the results of laboratory tests.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
BSomePotential for Minimal HarmHealth InspectionLet residents talk to and get information from agencies acting on their behalf.
BSomePotential for Minimal HarmHealth InspectionProvide resident groups or resident family groups with private space to meet.
BSomePotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.

July 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
BSomePotential for Minimal HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

June 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brookdale San Juan Capistrano 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 5min
2hr 35min
ReportedExpected
CNA
1hr 35min
45min
ReportedExpected
LPN
1hr 50min
1hr 25min
ReportedExpected
RN
6hr 30min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
-
-
-
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
-
-
-
-
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
-
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
-
-
-
-
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
-
-
-
-
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
-
-
-
-
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
-
-
-
-
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who lose too much weight
-
-
-
-
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
-
-
-
-
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
-
-
-
-
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a urinary tract infection
-
-
-
-
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents experiencing one or more falls with major injury
-
-
-
-
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a catheter inserted and left in their bladder
-
-
-
-
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.0%
97.4%
96.9%
95.9%
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
95.5%
95.5%
95.5%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
46.4%
44.6%
33.6%
34.9%
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who made improvements in function
7.9%
6.9%
5.6%
5.6%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who self-report moderate to severe pain
3.6%
1.5%
0.8%
0.8%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.4%
0.4%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents with pressure ulcers that are new or worsened