Country Villa Claremont Health - CLAREMONT, CA - Nursing Home Abuse and Neglect Report  
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General Information
Category: Participating in Medicare and Medicaid
COUNTRY VILLA CLAREMONT HEALTH
(909) 624-4511
590 S. INDIAN HILL BLVD.
CLAREMONT, CA 91711
Last inspected: 08/12/05
Certified Bed Count: 99
Total Residents: 92
Occupancy: 93%
Ownership: For profit - Corporation
Inside Hospital: NO
Resident Nurse: 0.3
LPN/LVN Care: 0.81
C.N.A. Care: 2.72
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 15 %     08/12/05
Percent of Low-Risk Residents Who Have Pressure Sores 0 %     08/12/05
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 54 %     08/12/05
Percent of Residents Who are More Depressed or Anxious 12 %     08/12/05
Percent of Residents Who Have Moderate to Severe Pain 5 %     08/12/05
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 6 %     08/12/05
Percent of Residents Who Lose Too Much Weight 19 %     08/12/05
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 1 %     08/12/05
Percent of Residents Who Were Physically Restrained 25 %     08/12/05
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 15 %     08/12/05
Percent of Residents Whose Need for Help With Daily Activities Has Increased 28 %     08/12/05
Percent of Residents With a Urinary Tract Infection 3 %     08/12/05
Percent of Short-Stay Residents Who Had Moderate to Severe Pain 28 %     08/12/05
Percent of Short-Stay Residents With Delirium 2 %     08/12/05
Percent of Short-Stay Residents With Pressure Sores 33 %     08/12/05

Country Villa Claremont Health - Nursing Home Treatment Deficiencies

Severity Scope Level of Nursing Home Neglect Updated
Category Deficiency
 
Pattern Minimal harm or potential for actual harm 05/05/04
Environmental Deficiencies Keep temperature levels comfortable and safe.
 
Pattern Minimal harm or potential for actual harm 04/06/05
Environmental Deficiencies Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
 
Pattern Minimal harm or potential for actual harm 03/19/04
Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible.
 
Isolated Minimal harm or potential for actual harm 09/18/02
Environmental Deficiencies Keep all essential equipment working safely.
 
Isolated Minimal harm or potential for actual harm 12/16/03
Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others.
 
Isolated Minimal harm or potential for actual harm 04/06/05
Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
 
Isolated Minimal harm or potential for actual harm 04/06/05
Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
 
Isolated Minimal harm or potential for actual harm 04/22/04
Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect.
 
Isolated Minimal harm or potential for actual harm 02/25/04
Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect.
 
Isolated Minimal harm or potential for actual harm 04/06/05
Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect.
 
Isolated Minimal harm or potential for actual harm 09/18/02
Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident.
 
Pattern Potential for minimal harm 12/16/03
Administration Deficiencies Keep accurate and appropriate medical records.
 
Pattern Potential for minimal harm 10/17/03
Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
 
Pattern Potential for minimal harm 12/16/03
Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
 
Pattern Potential for minimal harm 12/19/03
Resident Rights Deficiencies Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.
 
Pattern Potential for minimal harm 12/19/03
Resident Rights Deficiencies Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy.

Country Villa Claremont Health - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.
Medicare Suppliers in CLAREMONT
Out of 9
AMERICAN DRUG STORES INC
Pharmacy/Drug Store
(909)626-5093
436 AUTO CENTER DR
CLAREMONT, CA 91711
AMERICAN DRUG STORES INC
Pharmacy/Drug Store
(909)621-2571
342 S INDIAN HILL BLVD
CLAREMONT, CA 91711
LEE A GOSDSTEIN OD
Optometry/Optician
(909)621-3952
120 N INDIAN HILL BLVD
CLAREMONT, CA 91711
OVERHILL ENTERPRISES INC
Durable Medical Equipment
(909)624-3537
1350 N TOWNE AVE
CLAREMONT, CA 91711
OVERHILL ENTERPRISES INC
Pharmacy/Drug Store
(909)624-3537
1350 N TOWNE AVE
CLAREMONT, CA 91711
CLAREMONT OPTOMETRY GROUP
Optometry/Optician
(909)625-7861
318 N INDIAN HILL BLVD
CLAREMONT, CA 91711
VONS COMPANIES INC
Pharmacy/Drug Store
(909)451-1014
550 E BASELINE RD
CLAREMONT, CA 91711
HENDRICKS PHARMACY
Pharmacy/Drug Store
(909)624-1611
137 N HARVARD AVE
CLAREMONT, CA 91711
ANNA M TORRES
Optometry/Optician
(909)621-0052
1420 N CLAREMONT BLVD
CLAREMONT, CA 91711
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