Pacific Coast Manor - CAPITOLA, AZ - Nursing Home Abuse and Neglect Report

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General Information

Category: Participating in Medicare and Medicaid
PACIFIC COAST MANOR
(831) 476-0770
1935 WHARF ROAD
CAPITOLA, CA 95010

Last inspected: 11/15/04
Certified Bed Count: 99
Total Residents: 94
Occupancy: 95%
Ownership: For profit - Corporation
Inside Hospital: NO

Resident Nurse: 0.92
LPN/LVN Care: 0.45
C.N.A. Care: 2.32
Total Staff: 0
Total Licensed Staff: 0
(All hours are per Resident per Day)

Resident Survey

Measure	Score	County Ave	State Ave	Updated
Percent of High-Risk Residents Who Have Pressure Sores	16 %			11/15/04
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	50 %			11/15/04
Percent of Residents Who are More Depressed or Anxious	9 %			11/15/04
Percent of Residents Who Have Moderate to Severe Pain	1 %			11/15/04
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	3 %			11/15/04
Percent of Residents Who Lose Too Much Weight	4 %			11/15/04
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	11 %			11/15/04
Percent of Residents Who Were Physically Restrained	11 %			11/15/04
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	20 %			11/15/04
Percent of Residents Whose Need for Help With Daily Activities Has Increased	22 %			11/15/04
Percent of Residents With a Urinary Tract Infection	5 %			11/15/04
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	32 %			11/15/04
Percent of Short-Stay Residents With Delirium	4 %			11/15/04
Percent of Short-Stay Residents With Pressure Sores	18 %			11/15/04

Pacific Coast Manor - Nursing Home Treatment Deficiencies

Severity	Scope	Level of Nursing Home Neglect	Updated
Category	Deficiency
	Isolated	Minimal harm or potential for actual harm	02/07/05
Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.

Pacific Coast Manor - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.

Medicare Suppliers in CAPITOLA

Out of 4

PEARLE VISION INC

Optometry/Optician

(831)475-6396

1855 41ST AVE
CAPITOLA, CA 95010

LONGS DRUG STORES CALIFORNIA INC

Pharmacy/Drug Store

(831)475-1421

809 BAY AVE
CAPITOLA, CA 95010

LONGS DRUG STORES CALIFORNIA INC

Pharmacy/Drug Store

(831)476-0400

1750 41ST AVE
CAPITOLA, CA 95010

THRIFTY PAYLESS INC

Pharmacy/Drug Store

(831)476-7282

1475 41ST AVE
CAPITOLA, CA 95010

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