MOTION PICTURE AND T.V. HOSP D/P SNF (WOODLAND HILLS, CA) Detailed Nursing Home Profile

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.580
California:	0.748

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	1.780
California:	0.900

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	2.360
State:	1.608

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.280
California:	0.118

Number Therapy Hours Per Resident Per Day

Here:	0.280
California:	0.126

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	5.400%
California:	8.180%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Nursing Home:	0.378%
State:	0.170%

Outpatient CT scans of the chest that were combination (double) scans.

This Nursing Home:	0.370%
California:	0.043%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Fewer than 100
Survey Response Rate: 36%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
California:	7%

Usually

This Nursing Home:	21%
California:	21%

Always

Here:	77%
California:	72%

How often did doctors communicate well with patients?

Usually

This Nursing Home:	12%
State:	17%

Always

Here:	88%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	1%
State:	13%

Usually

Here:	21%
California:	28%

Always

Here:	78%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
California:	8%

Usually

This Nursing Home:	18%
California:	25%

Always

Here:	78%
State:	67%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Nursing Home:	23%
California:	23%

Usually

This Nursing Home:	18%
State:	19%

Always

Here:	59%
State:	58%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	10%
California:	10%

Usually

This Nursing Home:	19%
State:	21%

Always

Here:	71%
California:	69%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	7%
State:	18%

Usually

This Nursing Home:	17%
California:	33%

Always

Here:	76%
California:	49%

Were patients given information about what to do during their recovery at home?

Yes

Here:	74%
State:	81%

Here:	26%
State:	19%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	1%
California:	10%

7 or 8

This Nursing Home:	9%
California:	24%

9 or 10

Here:	90%
California:	66%

Would patients recommend the hospital to friends and family?

Yes, probably

This Nursing Home:	19%
State:	24%

Yes, definitely

Here:	81%
State:	69%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	7.1%
State:	13.1%

Percent of long-stay high-risk residents with pressure ulcers

Here:	8.1%
State:	7.5%

Percent of long-stay residents who lose too much weight

This Nursing Home:	10.9%
State:	6.3%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	3.7%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	9.1%
State:	6.7%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	3.6%
California:	1.6%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	93.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	98.2%
State:	94.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	32.1%
State:	19.0%

Complaint Deficiency

Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Potential for minimal harm
- Scope: Some
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Many
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Potential for minimal harm
- Scope: Some
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Potential for minimal harm
- Scope: Some
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Process of Care

Surgery

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Nursing Home:	93.0%
California:	95.1%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Nursing Home:	100.0%
California:	95.5%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.0%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	12.7%
State:	11.7%

30-Day Readmission Rates from Heart Failure

Here:	24.5%
State:	24.4%

30-Day Readmission Rates from Pneumonia

Here:	19.5%
California:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Nursing Home:	2.639%
California:	0.625%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,238

Acute myocardial infarction, discharged alive w CC: $5,953

Heart failure and shock w/o CC/MCC: $4,575

Heart failure and shock w MCC: $9,252

Heart failure and shock w CC: $6,380

Chronic obstructive pulmonary disease w/o CC/MCC: $5,530

Chronic obstructive pulmonary disease w MCC: $8,256

Chronic obstructive pulmonary disease w CC: $5,353

Simple pneumonia and pleurisy w MCC: $9,078

Chest Pain: $3,367

Transurethral prostatectomy w/o CC/MCC: $4,008

Transurethral prostatectomy w CC/MCC: $7,086

MOTION PICTURE AND T.V. HOSP D/P SNF - WOODLAND HILLS, CA

Staff Information

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

Complaint Deficiency

Process of Care

Surgery

Outcome of Care

Hospital Acquired Conditions

Average Medicare Payment

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