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MOTION PICTURE AND T.V. HOSP D/P SNF - WOODLAND HILLS, CA

 



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Address
23388 MULHOLLAND DR.
WOODLAND HILLS, CA, 91364
Phone (make sure to verify first before calling): (818) 876-1888

Number of Certified Beds: 195
Total Number of Residents: 63
Percent of Occupied Beds: 32%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 25.14
Certified Nurse Aides - Full Time: 85.71
Certified Nurse Aides - Part Time: 4.80
Food Service Personnel - Full Time: 37.71
Housekeeping Personnel - Full Time: 29.71
Licensed Practical/ Vocational Nurses - Full Time: 41.23
Licensed Practical/ Vocational Nurses - Part Time: 4.80
Nurses With Administrative Duties - Full Time: 6.40
Persons Not Included In Any Other Categories - Full Time: 73.16
Physical Therapists - Under Contract: 4.57
Rn Director Of Nursing - Full Time: 2.29
Social Workers - Full Time: 3.43
Activities Professionals - Full Time: 2.86
Dentists - Under Contract: 0.29
Occupational Therapists - Under Contract: 1.14
Administrative Staff - Under Contract: 1.14
Food Service Personnel - Under Contract: 2.29
Medical Directors - Full Time: 1.14
Physician Extenders - Full Time: 1.14
Podiatrists - Under Contract: 0.23
Speech Pathologists - Under Contract: 0.23
Dietitians - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 6.84
Registered Nurses - Part Time: 0.69
Occupational Therapy Assistants - Under Contract: 0.57
Social Workers - Part Time: 1.60
Housekeeping Personnel - Part Time: 2.06
Pharmacists - Full Time: 6.91
Licensed Practical/ Vocational Nurses - Under Contract: 2.14
Physical Therapy Aide - Under Contract: 1.14
Certified Nurse Aides - Under Contract: 6.67
Pharmacists - Part Time: 2.29
Other Physicians - Full Time: 6.89

Provided Services

  • Activities Services Are Provided Onsite To Nonresidents
  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Administration And Storage Of Blood Services Are Provided Onsite To Nonresidents
  • Administration And Storage Of Blood Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Non Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Non Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Non Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Non Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Other Social Services Are Provided Onsite To Nonresidents
  • Pharmacy Services Are Provided Onsite To Non Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Non Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Non Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Non Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Non Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

5.400%
State:

8.180%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.378%
California:

0.170%
Outpatient CT scans of the chest that were combination (double) scans.
Here:

0.370%
State:

0.043%

Hospital Acquired Conditions

Falls and injuries
This Nursing Home:

2.639%
California:

0.625%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.580
California:

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

1.780
California:

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

2.360
State:

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

0.280
State:

0.118
Number Therapy Hours Per Resident Per Day
Here:

0.280
State:

0.126

Quality Measures

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

7.1%
California:

13.1%
Percent of long-stay high-risk residents with pressure ulcers
Here:

8.1%
California:

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

10.9%
California:

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

3.7%
State:

4.0%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

9.1%
California:

6.7%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

3.6%
State:

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

100.0%
California:

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

98.2%
State:

94.0%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

32.1%
State:

19.0%

Process of Care

Surgery

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
This Nursing Home:

93.0%
State:

95.1%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Nursing Home:

100.0%
State:

95.5%

Outcome of Care

30-Day Mortality Rates from Heart Failure
This Nursing Home:

11.0%
State:

10.9%
30-Day Mortality Rates from Pneumonia
This Nursing Home:

12.7%
California:

11.7%
30-Day Readmission Rates from Heart Failure
This Nursing Home:

24.5%
California:

24.4%
30-Day Readmission Rates from Pneumonia
Here:

19.5%
California:

18.3%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: Fewer than 100
Survey Response Rate: 36%

How often did nurses communicate well with patients?

Sometimes or never
This Nursing Home:

2%
State:

7%
Usually
This Nursing Home:

21%
State:

21%
Always
This Nursing Home:

77%
California:

72%

How often did doctors communicate well with patients?

Usually
Here:

12%
State:

17%
Always
This Nursing Home:

88%
California:

77%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

1%
State:

13%
Usually
This Nursing Home:

21%
California:

28%
Always
Here:

78%
California:

59%

How often was patients' pain well controlled?

Sometimes or never
This Nursing Home:

4%
State:

8%
Usually
Here:

18%
State:

25%
Always
Here:

78%
State:

67%

How often did staff explain about medicines before giving them to patients?

Sometimes or never
This Nursing Home:

23%
State:

23%
Usually
This Nursing Home:

18%
California:

19%
Always
Here:

59%
California:

58%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never
Here:

10%
State:

10%
Usually
This Nursing Home:

19%
State:

21%
Always
Here:

71%
California:

69%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never
This Nursing Home:

7%
California:

18%
Usually
Here:

17%
State:

33%
Always
Here:

76%
California:

49%

Were patients given information about what to do during their recovery at home?

Yes
Here:

74%
California:

81%
No
Here:

26%
California:

19%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower
Here:

1%
State:

10%
7 or 8
Here:

9%
California:

24%
9 or 10
This Nursing Home:

90%
California:

66%

Would patients recommend the hospital to friends and family?

Yes, probably
Here:

19%
State:

24%
Yes, definitely
Here:

81%
California:

69%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,238
Acute myocardial infarction, discharged alive w CC: $5,953
Heart failure and shock w/o CC/MCC: $4,575
Heart failure and shock w MCC: $9,252
Heart failure and shock w CC: $6,380
Chronic obstructive pulmonary disease w/o CC/MCC: $5,530
Chronic obstructive pulmonary disease w MCC: $8,256
Chronic obstructive pulmonary disease w CC: $5,353
Simple pneumonia and pleurisy w MCC: $9,078
Chest Pain: $3,367
Transurethral prostatectomy w/o CC/MCC: $4,008
Transurethral prostatectomy w CC/MCC: $7,086

Complaint Deficiency

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

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

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

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (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)

Protected exits that allow the resident to escape the building: Many (Minimal harm or potential for actual harm)

Corridors or aisles that are unobstructed and are at least 8 feet in width: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: 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: 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)

Store, cook, and serve food in a safe and clean way: Some (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)

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

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (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)

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

Properly working alarms on sprinkler valves: Few (Minimal harm or potential for actual harm)

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

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

Properly installed electrical wiring and equipment: 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: 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)

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)

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: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: 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: 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)

Automatic sprinkler systems that have been maintained in working order: Some (Potential for minimal harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Many (Potential for minimal harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Potential for minimal harm)

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 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)

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)

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)

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

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