General Information: BUENA PARK NURSING CENTER
Nursing home name BUENA PARK NURSING CENTER
Address8520 WESTERN AVENUE
BUENA PARK, CA 90620
Phone number (714) 828-8222
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 143
Total number of residents 133
Perc of occupied beds 93
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BUENA PARK NURSING CENTER
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: BUENA PARK NURSING CENTER
National AverageCalifornia AverageBUENA PARK NURSING CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 133
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 5.55 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 2.73 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 0.79 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.94 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.82 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.05 hours
Health Survey: BUENA PARK NURSING CENTER
Heath Survey Summary on 2013-09-11
Total Number of Health Deficiencies 19
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-25
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-03-29
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: BUENA PARK NURSING CENTER
Inspection Results: 09/11/2013
Corrected Deficiency Scope and Severity
10/24/2013 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
10/24/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
10/24/2013 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
10/24/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Potential for minimal harm
10/24/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
10/24/2013 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
10/24/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
10/24/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
10/24/2013 Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Isolated/Minimal harm or potential for actual harm
10/24/2013 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
10/24/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
10/24/2013 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
10/24/2013 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
10/24/2013 Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern/Potential for minimal harm
10/24/2013 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
10/24/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
10/24/2013 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern/Minimal harm or potential for actual harm
10/24/2013 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Pattern/Minimal harm or potential for actual harm
10/24/2013 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/25/2012
Corrected Deficiency Scope and Severity
10/24/2012 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
10/24/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
10/24/2012 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
10/24/2012 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
10/24/2012 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
10/24/2012 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
10/24/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 03/29/2012
Corrected Deficiency Scope and Severity
04/28/2012 Provide timely notification to the resident before transfer or discharge. Pattern/Potential for minimal harm
04/28/2012 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
04/28/2012 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
04/28/2012 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Isolated/Minimal harm or potential for actual harm
04/28/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
04/28/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
04/28/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
04/28/2012 Quickly tell the resident's doctor the results of laboratory tests. Isolated/Minimal harm or potential for actual harm
04/28/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: BUENA PARK NURSING CENTER
Fire Safety Survey Summary on 2013-09-17
Total Number of Fire SafetyDeficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-26
Total Number of Fire SafetyDeficiencies 14
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-03
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: BUENA PARK NURSING CENTER
Fire Safety Survey Results: 09/17/2013
Corrected Deficiency Severity
09/30/2013 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
09/30/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
09/30/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
09/30/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
09/30/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
09/30/2013 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
09/30/2013 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
09/30/2013 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
09/30/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/26/2012
Corrected Deficiency Severity
10/16/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 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 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
10/16/2012 Properly maintained smoke detectors. Widespread/Potential for minimal harm
10/16/2012 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual 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
10/16/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
10/16/2012 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
10/16/2012 Properly installed hallway dispensers for alcohol-based hand rub. Isolated/Minimal harm or potential for actual harm
10/16/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
10/16/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
10/16/2012 Weekly inspections and monthly testing of generators. Isolated/Minimal harm or potential for actual harm
10/16/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
10/16/2012 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/03/2012
Corrected Deficiency Severity
05/09/2012 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
05/09/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
05/09/2012 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BUENA PARK NURSING CENTER
Date Complaint Substantiated: 03/19/2014
CorrectedCategoryDeficiencySeverity
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. D
Date Complaint Substantiated: 02/24/2014
CorrectedCategoryDeficiencySeverity
04/01/2014Have a program that investigates, controls and keeps infection from spreading. G
Date Complaint Substantiated: 01/08/2014
CorrectedCategoryDeficiencySeverity
02/02/2014Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
Date Complaint Substantiated: 07/25/2012
CorrectedCategoryDeficiencySeverity
08/25/2012Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
08/25/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
Date Complaint Substantiated: 02/14/2012
CorrectedCategoryDeficiencySeverity
03/14/2012Tell the resident or the residents representative in writing how long the nursing home will hold the residents bed in cases of transfer to a hospital or therapeutic leave. D
03/14/2012Tell the attending physician the results of x-rays and other tests, in a timely manner. D

Quality Measures: BUENA PARK NURSING CENTER
Quality Measures National Average California Average BUENA PARK NURSING CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% 8.7%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 0.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 9.7%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 0.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 59.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 6.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 3.3%
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% 4.0%
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% 94.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 98.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 11.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 15.6%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.5%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 88.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 81.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 2.1%

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