General Information: ST ELIZABETH HEALTHCARE CENTER
Nursing home name ST ELIZABETH HEALTHCARE CENTER
Address2800 N. HARBOR BLVD.
FULLERTON, CA 92835
Phone number (714) 871-9202
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 59
Total number of residents 47
Perc of occupied beds 79
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ST ELIZABETH HEALTHCARE CENTER
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: ST ELIZABETH HEALTHCARE CENTER
National AverageCalifornia AverageST ELIZABETH HEALTHCARE CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 47
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 4.64 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 1.22 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 1.22 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.0 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 3.42 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.12 hours
Health Survey: ST ELIZABETH HEALTHCARE CENTER
Heath Survey Summary on 2013-07-10
Total Number of Health Deficiencies 14
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-24
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-07-07
Total Number of Health Deficiencies 14
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: ST ELIZABETH HEALTHCARE CENTER
Inspection Results: 07/10/2013
Corrected Deficiency Scope and Severity
08/09/2013 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
08/09/2013 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm
08/09/2013 Develop 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. Isolated/Minimal harm or potential for actual harm
08/09/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
08/09/2013 Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. Isolated/Minimal harm or potential for actual harm
08/09/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/09/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
08/09/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
08/09/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
08/09/2013 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
08/09/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
08/09/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
08/09/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
08/09/2013 Keep clinical record information safe. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/24/2012
Corrected Deficiency Scope and Severity
10/22/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
10/22/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
10/22/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
10/22/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
10/22/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
10/22/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
10/22/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
10/22/2012 Ensure 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. Isolated/Minimal harm or potential for actual harm
10/22/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
10/22/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
10/22/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
10/22/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
10/22/2012 Develop 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. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/07/2011
Corrected Deficiency Scope and Severity
08/10/2011 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern/Potential for minimal harm
08/10/2011 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
08/10/2011 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
08/10/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
08/10/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
08/10/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/10/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
08/10/2011 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
08/10/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Potential for minimal harm
08/10/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
08/10/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
08/10/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
08/10/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
08/10/2011 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern/Potential for minimal harm

Fire Safety Survey: ST ELIZABETH HEALTHCARE CENTER
Fire Safety Survey Summary on 2013-07-17
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-24
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-07-15
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: ST ELIZABETH HEALTHCARE CENTER
Fire Safety Survey Results: 07/17/2013
Corrected Deficiency Severity
08/09/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/09/2013 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
08/09/2013 Record of quarterly fire drills for each shift under varying conditions. Isolated/Minimal harm or potential for actual harm
08/09/2013 Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm
08/09/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/24/2012
Corrected Deficiency Severity
10/16/2012 An automatic smoke detection system in all hallways. Isolated/Minimal harm or potential for actual harm
10/16/2012 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Isolated/Minimal harm or potential for actual harm
10/16/2012 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Pattern/Minimal harm or potential for actual harm
10/16/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
10/16/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
10/16/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
10/16/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/15/2011
Corrected Deficiency Severity
08/05/2011 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
08/05/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/05/2011 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
08/05/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
08/05/2011 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
08/05/2011 Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm
08/05/2011 Properly installed electrical wiring and equipment. Pattern/Potential for minimal harm

Resident Complaints: ST ELIZABETH HEALTHCARE CENTER
Date Complaint Substantiated: 11/21/2012
CorrectedCategoryDeficiencySeverity
12/20/2012Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Date Complaint Substantiated: 10/30/2012
CorrectedCategoryDeficiencySeverity
11/29/2012Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
11/29/2012Develop 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. D

Quality Measures: ST ELIZABETH HEALTHCARE CENTER
Quality Measures National Average California Average ST ELIZABETH HEALTHCARE CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% 8.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 1.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 8.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 4.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 2.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 11.1%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 98.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 17.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 12.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 97.2%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 99.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 1.1%

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