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Country Villa Plaza Convalescent Center

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About Country Villa Plaza Convalescent Center

General Information

Legal Business NameCountry Villa Plaza, A Ca Ltd. Partnership
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 1, 1979 (38 years)
Capacity145
Residents134
Percent Occupied92%
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 Country Villa Plaza Convalescent Center

Country Villa Plaza 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

October 14, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

October 4, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop 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.

September 20, 2016 - 9 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 HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

September 1, 2016 - 10 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 HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

May 27, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 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 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.
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.
BSomePotential for Minimal HarmHealth InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.

April 8, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintDispose of garbage and refuse properly.
DFewPotential for HarmComplaintMake sure that all required doctor visits are made personally.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintDevelop 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.

February 2, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop 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.

December 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

April 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

April 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential 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 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 routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
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 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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
BSomePotential for Minimal HarmHealth InspectionProvide housekeeping and maintenance services.
BSomePotential for Minimal HarmHealth InspectionProvide timely notification to the resident before transfer or discharge.

February 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

August 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop 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.

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 Plaza 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 25min
2hr 35min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
30min
1hr 5min
ReportedExpected
RN
3hr 45min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.1%
85.2%
85.2%
85.2%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
95.5%
93.3%
93.0%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.5%
58.1%
61.4%
64.6%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
23.8%
17.9%
20.2%
21.5%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
7.1%
12.4%
17.2%
8.6%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose ability to move independently worsened
5.1%
5.6%
2.7%
3.7%
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antipsychotic medication
2.5%
6.7%
8.5%
6.4%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose need for help with daily activities has increased
5.3%
3.9%
6.1%
4.6%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who self-report moderate to severe pain
3.8%
10.1%
9.4%
9.8%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who lose too much weight
4.3%
2.0%
3.7%
5.8%
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%
0.0%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a urinary tract infection
0.0%
0.9%
0.8%
1.8%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents experiencing one or more falls with major injury
3.1%
5.2%
5.9%
4.7%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a catheter inserted and left in their bladder
4.7%
0.9%
0.0%
1.8%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

81.0%
72.1%
62.6%
62.1%
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.9%
82.2%
82.2%
82.2%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
71.3%
80.5%
81.3%
68.3%
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who made improvements in function
17.6%
14.0%
8.9%
9.1%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who self-report moderate to severe pain
6.5%
9.3%
6.2%
1.6%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.6%
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents with pressure ulcers that are new or worsened