General Information: ALL SAINTS HEALTHCARE SUBACUTE
Nursing home name ALL SAINTS HEALTHCARE SUBACUTE
Address11810 SATICOY STREET
NORTH HOLLYWOOD, CA 91605
Phone number (818) 982-4600
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 128
Total number of residents 111
Perc of occupied beds 86
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ALL SAINTS HEALTHCARE SUBACUTE
Overall rating 5
5
Nursing Home Staffing 5
5
Registered Nurses only 5
5
Health Inspections 4
4
Quality Measures 4
4
Nursing Home Staffing Info: ALL SAINTS HEALTHCARE SUBACUTE
National AverageCalifornia AverageALL SAINTS HEALTHCARE SUBACUTE
Overall staff rating NA NA 5
5
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 111
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 11.19 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 6.27 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 2.45 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 3.82 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 4.92 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.05 hours
Health Survey: ALL SAINTS HEALTHCARE SUBACUTE
Heath Survey Summary on 2013-12-20
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 2012-09-10
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-19
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: ALL SAINTS HEALTHCARE SUBACUTE
Inspection Results: 12/20/2013
Corrected Deficiency Scope and Severity
01/21/2014 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
01/21/2014 Provide activities to meet the interests and needs of each resident. Pattern/Potential for minimal harm
01/21/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/21/2014 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
01/21/2014 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
01/21/2014 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
01/21/2014 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
Inspection Results: 09/10/2012
Corrected Deficiency Scope and Severity
10/12/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
10/12/2012 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
10/12/2012 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
10/12/2012 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. Isolated/Minimal harm or potential for actual harm
10/12/2012 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
10/12/2012 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
10/12/2012 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
10/12/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 06/19/2011
Corrected Deficiency Scope and Severity
07/15/2011 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
07/15/2011 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
07/15/2011 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
07/15/2011 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
07/15/2011 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated/Minimal harm or potential for actual harm
07/15/2011 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. Pattern/Minimal harm or potential for actual harm
07/15/2011 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
07/15/2011 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
07/15/2011 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
07/15/2011 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
07/15/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
07/15/2011 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
07/15/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: ALL SAINTS HEALTHCARE SUBACUTE
Fire Safety Survey Summary on 2013-12-21
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 2012-09-12
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 2011-06-18
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: ALL SAINTS HEALTHCARE SUBACUTE
Fire Safety Survey Results: 12/21/2013
Corrected Deficiency Severity
01/17/2014 Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
01/17/2014 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
01/17/2014 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/12/2012
Corrected Deficiency Severity
10/12/2012 Properly installed hallway dispensers for alcohol-based hand rub. Pattern/Minimal harm or potential for actual harm
10/12/2012 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
Fire Safety Survey Results: 06/18/2011
Corrected Deficiency Severity
07/15/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
07/15/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
07/15/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
07/15/2011 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm

Resident Complaints: ALL SAINTS HEALTHCARE SUBACUTE
Not available

Quality Measures: ALL SAINTS HEALTHCARE SUBACUTE
Quality Measures National Average California Average ALL SAINTS HEALTHCARE SUBACUTE
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% 0.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 8.4%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 4.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 1.2%
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% 8.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 5.2%
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% 5.2%
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% 91.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 97.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 2.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 0.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 2.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 81.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 71.4%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 0.0%

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