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MAYFLOWER GARDENS CONV HOSP - LANCASTER, CA

 



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Address
6705 WEST AVENUE M
LANCASTER, CA, 93536
Phone (make sure to verify first before calling): (661) 943-3212

Number of Certified Beds: 48
Total Number of Residents: 47
Percent of Occupied Beds: 98%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


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

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Dietitians - Under Contract: 0.09
Food Service Personnel - Full Time: 3.11
Food Service Personnel - Part Time: 1.74
Housekeeping Personnel - Full Time: 3.43
Licensed Practical/ Vocational Nurses - Full Time: 5.71
Licensed Practical/ Vocational Nurses - Part Time: 1.37
Medical Directors - Under Contract: 0.01
Mental Health Services Personnel - Under Contract: 0.09
Nurses With Administrative Duties - Full Time: 2.29
Physical Therapists - Under Contract: 6.86
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.09
Occupational Therapists - Under Contract: 6.64
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.11
Speech Pathologists - Under Contract: 0.09
Other Physicians - Under Contract: 0.01
Registered Nurses - Part Time: 0.46
Social Workers - Under Contract: 0.11
Licensed Practical/ Vocational Nurses - Under Contract: 24.03

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
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.410
State:

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

0.750
California:

0.900
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.170
State:

1.608
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.730
California:

0.118
Number Therapy Hours Per Resident Per Day
Here:

0.730
California:

0.126

Quality Measures

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

14.3%
State:

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

7.1%
State:

8.9%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

10.5%
State:

7.5%
Percent of long-stay residents who lose too much weight
Here:

4.8%
California:

6.3%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

1.7%
State:

4.0%
Percent of long-stay residents with a urinary tract infection
Here:

14.3%
California:

6.7%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

7.5%
State:

2.4%
Percent of long-stay residents who were physically restrained
This Nursing Home:

4.7%
State:

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

4.7%
State:

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%
State:

94.0%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

7.3%
California:

1.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
California:

81.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

95.0%
California:

79.7%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

22.5%
State:

19.0%

Complaint Deficiency

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide activities to meet the interests and needs of each resident: 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)

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

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for 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)

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: Some (Potential for minimal harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Potential for minimal harm)

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

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Some (Potential for minimal harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Many (Potential for minimal harm)

Corridor and hallway doors that block smoke: Some (Potential for minimal harm)

Record of quarterly fire drills for each shift under varying conditions: Some (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Potential for minimal harm)

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

A fire alarm system that can be heard throughout the facility: Many (Potential for minimal harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: 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 care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Some (Potential for minimal harm)

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

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Give the right treatment and services to residents who have mental or psychosocial problems adjusting: Few (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Few (Minimal harm or potential for 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)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Potential for minimal 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 (Potential for minimal harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: 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)

Fire-resistant room wall surfaces: Many (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)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

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

Weekly inspections and monthly testing of generators: Many (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)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: 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: Few (Minimal harm or potential for actual harm)

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

Assess the resident when the resident enters the nursing home, in a timely manner: Some (Potential for minimal harm)

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

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

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: 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 (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Some (Minimal harm or potential for 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)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

Hire a qualified dietician: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: 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)

Give or get specialized rehabilitative services per the patient's assessment or plan of care: 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: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (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)

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