General Information: LA HABRA CONV. HOSP.
Nursing home name LA HABRA CONV. HOSP.
Address1233 WEST LA HABRA BOULEVARD
LA HABRA, CA 90631
Phone number (562) 691-0781
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 86
Total number of residents 72
Perc of occupied beds 83
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: LA HABRA CONV. HOSP.
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: LA HABRA CONV. HOSP.
National AverageCalifornia AverageLA HABRA CONV. HOSP.
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 72
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 4.0 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 1.48 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 0.57 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.91 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.52 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.16 hours
Health Survey: LA HABRA CONV. HOSP.
Heath Survey Summary on 2014-03-21
Total Number of Health Deficiencies 17
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2013-05-30
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 2012-07-02
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: LA HABRA CONV. HOSP.
Inspection Results: 03/21/2014
Corrected Deficiency Scope and Severity
04/21/2014 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
04/21/2014 Ensure each resident receives an accurate assessment by a qualified health professional. Pattern/Potential for minimal harm
04/21/2014 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
04/21/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/21/2014 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
04/21/2014 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
04/21/2014 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
04/21/2014 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. Pattern/Potential for minimal harm
04/21/2014 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated/Minimal harm or potential for actual harm
04/21/2014 Provide food in a way that meets a resident's needs. Isolated/Minimal harm or potential for actual harm
04/21/2014 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
04/21/2014 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
04/21/2014 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
04/21/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
04/21/2014 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Isolated/Minimal harm or potential for actual harm
04/21/2014 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread /Minimal harm or potential for actual harm
04/21/2014 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
Inspection Results: 05/30/2013
Corrected Deficiency Scope and Severity
06/30/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/30/2013 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
06/30/2013 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. Isolated/Minimal harm or potential for actual harm
06/30/2013 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
06/30/2013 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
06/30/2013 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
06/30/2013 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
06/30/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
06/30/2013 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
06/30/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
06/30/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
06/30/2013 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern/Minimal harm or potential for actual harm
06/30/2013 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
Inspection Results: 07/02/2012
Corrected Deficiency Scope and Severity
07/25/2012 Keep residents' personal and medical records private and confidential. Pattern/Potential for minimal harm
07/25/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
07/25/2012 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
07/25/2012 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
07/25/2012 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
07/25/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
07/25/2012 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
07/25/2012 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
07/25/2012 Quickly tell the resident's doctor the results of laboratory tests. Isolated/Minimal harm or potential for actual harm
07/25/2012 Keep complete, dated laboratory records in the resident's file. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: LA HABRA CONV. HOSP.
Fire Safety Survey Summary on 2014-03-26
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 Summary on 2013-06-05
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-03
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: LA HABRA CONV. HOSP.
Fire Safety Survey Results: 03/26/2014
Corrected Deficiency Severity
04/09/2014 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
04/09/2014 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
04/09/2014 An approved back-up procedure for a faulty fire alarm system. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/05/2013
Corrected Deficiency Severity
07/01/2013 Restrictions on the use of highly flammable decorations. Pattern/Minimal harm or potential for actual harm
07/01/2013 Record of quarterly fire drills for each shift under varying conditions. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/03/2012
Corrected Deficiency Severity
07/23/2012 Record of quarterly fire drills for each shift under varying conditions. Isolated/Minimal harm or potential for actual harm
07/23/2012 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
07/23/2012 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
07/23/2012 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm

Resident Complaints: LA HABRA CONV. HOSP.
Date Complaint Substantiated: 11/21/2013
CorrectedCategoryDeficiencySeverity
01/07/2014Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
Date Complaint Substantiated: 01/14/2013
CorrectedCategoryDeficiencySeverity
02/14/2013Provide medically-related social services to help each resident achieve the highest possible quality of life. D
02/14/2013Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. D
02/14/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: LA HABRA CONV. HOSP.
Quality Measures National Average California Average LA HABRA CONV. HOSP.
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% 1.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 7.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 2.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 6.1%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 59.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 1.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 15.0%
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% 2.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 100.0%
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% 7.7%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 40.3%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 98.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 98.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 1.5%

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