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HILLCREST NURSING HOME - SAN BERNARDINO, CA

 



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Address
4280 CYPRESS DRIVE
SAN BERNARDINO, CA, 92407
Phone (make sure to verify first before calling): (909) 882-2965

Number of Certified Beds: 59
Total Number of Residents: 56
Percent of Occupied Beds: 95%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicaid
Type of Ownership: For profit - Individual
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.29
Certified Nurse Aides - Full Time: 30.40
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 11.20
Food Service Personnel - Part Time: 0.80
Housekeeping Personnel - Full Time: 10.29
Licensed Practical/ Vocational Nurses - Full Time: 7.31
Licensed Practical/ Vocational Nurses - Part Time: 0.80
Medical Directors - Under Contract: 0.23
Mental Health Services Personnel - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 1.14
Persons Not Included In Any Other Categories - Full Time: 1.14
Physical Therapists - Under Contract: 0.23
Registered Nurses - Full Time: 1.00
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.06
Occupational Therapists - Under Contract: 0.23
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.06
Speech Pathologists - Under Contract: 0.03
Other Physicians - Under Contract: 0.17
Dietitians - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 0.29
Registered Nurses - Part Time: 0.40

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.310
California:

0.748
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.650
California:

0.900
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

0.960
State:

1.608

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

3.8%
California:

13.1%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

8.6%
State:

8.9%
Percent of long-stay residents who lose too much weight
This Nursing Home:

3.7%
California:

6.3%
Percent of long-stay residents who were physically restrained
Here:

12.5%
California:

3.6%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

1.8%
California:

1.6%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

100.0%
California:

93.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
California:

94.0%

Complaint Deficiency

Proper stairway enclosures and vertical shafts: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Fire-resistant interior walls: Few (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety)

Conduct initial and periodic assessments of each resident's functional capacity: Some (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

A properly installed and maintained dumbwaiter or escalator: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests: Some (Minimal harm or potential for actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Minimal harm or potential for actual harm)

Properly constructed piped-in oxygen systems: Some (Minimal harm or potential for actual harm)

Check and assess each resident's assessment at least every 3 months: Some (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Tell the resident completely about his or her health status, care and treatments: Few (Minimal harm or potential for actual harm)

Provide enough notice before discharging or transferring a resident: Few (Minimal harm or potential for actual harm)

Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed: Few (Minimal harm or potential for actual harm)

1) Hire only people with 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: Some (Immediate jeopardy to resident health or safety)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Some (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Many (Minimal harm or potential for actual harm)

Maintain 15 months of resident assessments in the resident's active clinical record: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves: Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Keep all essential equipment working safely: Few (Minimal harm or potential for actual harm)

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture: Some (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Some (Minimal harm or potential for actual harm)

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator: Some (Minimal harm or potential for actual harm)

Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility: Some (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Immediate jeopardy to resident health or safety)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion unless it was unavoidable: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Actual harm)

Post nurse staffing information/data on a daily basis: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Many (Potential for minimal harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Minimal harm or potential for actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Some (Minimal harm or potential for actual harm)

Keep clinical record information safe, so that it will not be lost, destroyed or used by the wrong person: Some (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Give the resident's representative the ability to exercise the resident's rights: Few (Minimal harm or potential for actual harm)

Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives: Few (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

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