General Information: MIRADA HILLS REHAB & CONV
Nursing home name MIRADA HILLS REHAB & CONV
Address12200 LA MIRADA BLVD.
LA MIRADA, CA 90638
Phone number (562) 947-8691
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 142
Total number of residents 98
Perc of occupied beds 69
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints3
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: MIRADA HILLS REHAB & CONV
Overall rating 3
3
Nursing Home Staffing 3
3
Registered Nurses only 2
2
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: MIRADA HILLS REHAB & CONV
National AverageCalifornia AverageMIRADA HILLS REHAB & CONV
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 98
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 3.93 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 0.44 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.04 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.45 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.18 hours
Health Survey: MIRADA HILLS REHAB & CONV
Heath Survey Summary on 2013-07-10
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-14
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-12-23
Total Number of Health Deficiencies 19
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: MIRADA HILLS REHAB & CONV
Inspection Results: 07/10/2013
Corrected Deficiency Scope and Severity
08/15/2013 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
08/15/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
08/15/2013 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
08/15/2013 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
08/15/2013 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
08/15/2013 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. Pattern/Minimal harm or potential for actual harm
08/15/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
08/15/2013 Ensure that residents are safe from serious medication errors. Pattern/Minimal harm or potential for actual harm
08/15/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
08/15/2013 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Minimal harm or potential for actual harm
08/15/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
08/15/2013 Keep all essential equipment working safely. Widespread/Potential for minimal harm
08/15/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/14/2012
Corrected Deficiency Scope and Severity
05/06/2012 Keep all essential equipment working safely. Pattern/Minimal harm or potential for actual harm
05/06/2012 Provide housekeeping and maintenance services. Pattern/Potential for minimal harm
05/06/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
05/06/2012 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. Pattern/Minimal harm or potential for actual harm
05/06/2012 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. Pattern/Minimal harm or potential for actual harm
05/06/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
05/06/2012 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
05/06/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
05/06/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
05/06/2012 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
Inspection Results: 12/23/2010
Corrected Deficiency Scope and Severity
01/21/2011 Provide clean bed and bath linens that are in good condition. Isolated/Minimal harm or potential for actual harm
01/21/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
01/21/2011 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
01/21/2011 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Widespread/Potential for minimal harm
01/21/2011 Maintain comfortable sound levels. Pattern/Minimal harm or potential for actual harm
01/21/2011 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
01/21/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
01/21/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/21/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
01/21/2011 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
01/21/2011 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
01/21/2011 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
01/21/2011 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern/Minimal harm or potential for actual harm
01/21/2011 Provide special eating equipment and utensils for each resident who needs them. Isolated/Minimal harm or potential for actual harm
01/21/2011 Dispose of garbage and refuse properly. Widespread/Potential for minimal harm
01/21/2011 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
01/21/2011 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
01/21/2011 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
01/21/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: MIRADA HILLS REHAB & CONV
Fire Safety Survey Summary on 2013-07-10
Total Number of Fire SafetyDeficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-14
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-12-23
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: MIRADA HILLS REHAB & CONV
Fire Safety Survey Results: 07/10/2013
Corrected Deficiency Severity
08/15/2013 Fire resistant room wall surfaces. Isolated/Minimal harm or potential for actual harm
08/15/2013 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
08/15/2013 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
08/15/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/14/2012
Corrected Deficiency Severity
05/06/2012 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
05/06/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
05/06/2012 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
05/06/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
05/06/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
05/06/2012 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 12/23/2010
Corrected Deficiency Severity
01/21/2011 Corridor and hallway doors that block smoke. Widespread/Potential for minimal harm
01/21/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Widespread/Potential for minimal harm
01/21/2011 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
01/21/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
01/21/2011 Properly installed hallway dispensers for alcohol-based hand rub. Isolated/Minimal harm or potential for actual harm

Resident Complaints: MIRADA HILLS REHAB & CONV
Date Complaint Substantiated: 02/19/2013
CorrectedCategoryDeficiencySeverity
03/01/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 02/06/2013
CorrectedCategoryDeficiencySeverity
02/18/2013Ensure 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. D
Date Complaint Substantiated: 10/05/2012
CorrectedCategoryDeficiencySeverity
10/19/2012Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
Date Complaint Substantiated: 03/09/2012
CorrectedCategoryDeficiencySeverity
07/02/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D

Quality Measures: MIRADA HILLS REHAB & CONV
Quality Measures National Average California Average MIRADA HILLS REHAB & CONV
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% 2.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 3.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 5.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 3.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 24.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 3.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 12.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% 0.4%
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% 88.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 99.2%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 13.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 13.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 95.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 95.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 0.3%

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