VILLA CORONADO D/P SNF (CORONADO, CA) Detailed Nursing Home Profile

Complaint Deficiency

Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- 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
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain comfortable and safe temperature levels
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give 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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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: Some
Provide bedrooms that don't allow residents to see each other when privacy is needed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Train all employees on what to do in an emergency, and carry out announced staff drills
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- 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
Properly maintained smoke detectors
- Harm: Potential for minimal harm
- Scope: Many
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Listen to the resident or family groups or act on their complaints or suggestions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide medically-related social services to help each resident achieve the highest possible quality of life
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- 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: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Many
Properly constructed piped-in oxygen systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Tell the resident completely about his or her health status, care and treatments
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Try to resolve each resident's complaints quickly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- 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
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- 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

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Cellulitis without Major Complications

Average Covered Charges

This Nursing Home:	$30,869
State:	$36,707

Average Total Payments

This Nursing Home:	$5,278
California:	$7,245

Number of discharges: 11

Here:	3.62%
California:	2.08%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Nursing Home:	$24,829
California:	$35,163

Average Total Payments

Here:	$4,434
State:	$6,206

Number of discharges: 14

This Nursing Home:	4.61%
California:	1.11%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

This Nursing Home:	$38,979
California:	$36,899

Average Total Payments

Here:	$4,520
California:	$6,233

Number of discharges: 15

Here:	4.93%
State:	3.09%

G.I. Hemorrhage with Complications

Average Covered Charges

Here:	$47,821
California:	$46,039

Average Total Payments

This Nursing Home:	$6,473
California:	$8,685

Number of discharges: 11

Here:	3.62%
State:	1.95%

Heart Failure and Shock with Complications

Average Covered Charges

This Nursing Home:	$37,573
State:	$47,292

Average Total Payments

This Nursing Home:	$6,102
State:	$8,831

Number of discharges: 25

This Nursing Home:	8.22%
State:	2.91%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Nursing Home:	$28,565
California:	$36,114

Average Total Payments

Here:	$4,910
State:	$6,728

Number of discharges: 13

Here:	4.28%
State:	2.98%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Nursing Home:	$58,662
State:	$88,239

Average Total Payments

Here:	$13,771
California:	$17,187

Number of discharges: 133

Here:	43.75%
California:	6.26%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

This Nursing Home:	$62,337
California:	$90,173

Average Total Payments

Here:	$11,588
California:	$16,748

Number of discharges: 59

Here:	19.41%
California:	7.21%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

This Nursing Home:	$33,716
State:	$50,385

Average Total Payments

Here:	$7,063
California:	$9,612

Number of discharges: 23

Here:	7.57%
State:	2.35%

Use of Medical Imaging

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

Here:	8.200%
California:	8.180%

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

Here:	0.027%
State:	0.170%

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

This Nursing Home:	0.036%
State:	0.043%

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	100.0%
State:	98.9%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	100.0%
State:	96.2%

Percent of Patients Given Discharge Instructions

This Nursing Home:	100.0%
State:	93.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
California:	99.4%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	96.0%
California:	96.1%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	100.0%
State:	96.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	91.0%
California:	98.1%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	94.0%
State:	95.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	100.0%
California:	94.3%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	95.8%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Nursing Home:	99.0%
California:	98.1%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	100.0%
State:	96.3%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

This Nursing Home:	100.0%
State:	98.2%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	99.0%
State:	96.0%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	100.0%
California:	96.9%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
State:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	100.0%
California:	93.9%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Nursing Home:	99.0%
California:	96.1%

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

Here:	95.0%
California:	95.1%

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

This Nursing Home:	100.0%
State:	95.5%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

Here:	100.0%
California:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	10.3%
California:	10.9%

30-Day Mortality Rates from Pneumonia

Here:	12.5%
California:	11.7%

30-Day Readmission Rates from Heart Failure

Here:	23.9%
State:	24.4%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	19.2%
California:	18.3%

Hospital Acquired Conditions

Falls and injuries

This Nursing Home:	2.827%
State:	0.625%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 54%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	2%
State:	7%

Usually

This Nursing Home:	13%
California:	21%

Always

This Nursing Home:	85%
California:	72%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
California:	6%

Usually

This Nursing Home:	14%
State:	17%

Always

This Nursing Home:	81%
California:	77%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	5%
State:	13%

Usually

Here:	17%
State:	28%

Always

This Nursing Home:	78%
California:	59%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	5%
California:	8%

Usually

This Nursing Home:	18%
California:	25%

Always

This Nursing Home:	77%
State:	67%

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

Sometimes or never

Here:	13%
California:	23%

Usually

This Nursing Home:	16%
State:	19%

Always

Here:	71%
State:	58%

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

Sometimes or never

This Nursing Home:	5%
State:	10%

Usually

This Nursing Home:	14%
California:	21%

Always

Here:	81%
California:	69%

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

Sometimes or never

This Nursing Home:	7%
California:	18%

Usually

Here:	25%
California:	33%

Always

This Nursing Home:	68%
California:	49%

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

Yes

Here:	90%
California:	81%

Here:	10%
California:	19%

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

6 or lower

Here:	4%
State:	10%

7 or 8

This Nursing Home:	14%
State:	24%

9 or 10

This Nursing Home:	82%
State:	66%

Would patients recommend the hospital to friends and family?

This Nursing Home:	2%
California:	7%

Yes, probably

This Nursing Home:	13%
State:	24%

Yes, definitely

This Nursing Home:	85%
State:	69%

Quality Measures

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

This Nursing Home:	5.7%
State:	7.5%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.5%
California:	6.3%

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

Here:	7.1%
California:	4.0%

Percent of long-stay residents with a urinary tract infection

Here:	2.3%
State:	6.7%

Percent of long-stay residents who have depressive symptoms

Here:	5.7%
California:	2.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	6.7%
California:	3.6%

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

This Nursing Home:	100.0%
California:	93.0%

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

Here:	100.0%
State:	94.0%

Percent of short-stay residents who self-report moderate to severe pain

Here:	30.7%
California:	21.2%

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

Here:	98.7%
California:	81.9%

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

Here:	97.3%
California:	79.7%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	1.6%
State:	2.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	10.2%
California:	19.0%

VILLA CORONADO D/P SNF - CORONADO, CA

Complaint Deficiency

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Use of Medical Imaging

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Acquired Conditions

Hospital Consumer Assessment of Healthcare Providers

Quality Measures

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