General Information: LEISURE COURT NURSING CENTER
Nursing home name LEISURE COURT NURSING CENTER
Address1135 LEISURE COURT
ANAHEIM, CA 92801
Phone number (714) 772-1353
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 Resident
Certified number of beds 115
Total number of residents 103
Perc of occupied beds 89
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: LEISURE COURT NURSING CENTER
Overall rating 5
5
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 3
3
Quality Measures 5
5
Nursing Home Staffing Info: LEISURE COURT NURSING CENTER
National AverageCalifornia AverageLEISURE COURT NURSING CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 103
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 4.1 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 1.35 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 0.65 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.7 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.75 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.07 hours
Health Survey: LEISURE COURT NURSING CENTER
Heath Survey Summary on 2013-11-21
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-11-08
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 2011-10-06
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: LEISURE COURT NURSING CENTER
Inspection Results: 11/21/2013
Corrected Deficiency Scope and Severity
12/21/2013 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
12/21/2013 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
12/21/2013 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
12/21/2013 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
12/21/2013 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
12/21/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
12/21/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm
12/21/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
12/21/2013 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: 11/08/2012
Corrected Deficiency Scope and Severity
12/08/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Pattern/Potential for minimal harm
12/08/2012 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated/Minimal harm or potential for actual harm
12/08/2012 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
12/08/2012 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
12/08/2012 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
12/08/2012 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Potential for minimal harm
12/08/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
Inspection Results: 10/06/2011
Corrected Deficiency Scope and Severity
11/30/2011 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
11/30/2011 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
11/30/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
11/30/2011 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
11/30/2011 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
11/30/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Potential for minimal harm
11/30/2011 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern/Potential for minimal harm

Fire Safety Survey: LEISURE COURT NURSING CENTER
Fire Safety Survey Summary on 2013-12-04
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 2012-11-14
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-10-11
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: LEISURE COURT NURSING CENTER
Fire Safety Survey Results: 12/04/2013
Corrected Deficiency Severity
12/18/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
12/18/2013 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
12/18/2013 Emergency lighting that can last at least 1 1/2 hours. Isolated/Minimal harm or potential for actual harm
12/18/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
12/18/2013 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
12/18/2013 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
12/18/2013 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
12/18/2013 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
12/18/2013 Weekly inspections and monthly testing of generators. Pattern/Potential for minimal harm
Fire Safety Survey Results: 11/14/2012
Corrected Deficiency Severity
11/27/2012 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
11/27/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
11/27/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/11/2011
Corrected Deficiency Severity
10/26/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
10/26/2011 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
10/26/2011 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
10/26/2011 Properly working alarms on sprinkler valves. Pattern/Minimal harm or potential for actual harm
10/26/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
10/26/2011 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm

Resident Complaints: LEISURE COURT NURSING CENTER
Date Complaint Substantiated: 12/12/2013
CorrectedCategoryDeficiencySeverity
01/11/2014Keep each resident free from physical restraints, unless needed for medical treatment. D
Date Complaint Substantiated: 10/10/2012
CorrectedCategoryDeficiencySeverity
11/20/2012Provide necessary care and services to maintain or improve the highest well being of each resident . G
Date Complaint Substantiated: 09/20/2012
CorrectedCategoryDeficiencySeverity
10/19/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: LEISURE COURT NURSING CENTER
Quality Measures National Average California Average LEISURE COURT NURSING 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% 7.2%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 0.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 6.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 1.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 52.5%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 2.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 0.4%
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% 4.2%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% 0.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 97.6%
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% 37.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 5.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 71.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 60.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 7.4%

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