PACIFICA HOSPITAL OF THE VALLEY - SUN VALLEY, CA
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Address 9449 SAN FERNANDO ROADPhone (make sure to verify first before calling): (818) 767-3310 Number of Certified Beds: 98 Total Number of Residents: 62 Percent of Occupied Beds: 63% Sprinkler Status: Partially Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Corporation Located Within a Hospital?: Yes Multi Nursing Home Ownership?: No Resident and Family Councils: None 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: 4 Stars Quality Measures Star Rating: 1 Star RN Only Star Rating: 4 Stars Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge DataAtherosclerosis without Major ComplicationsAverage Covered Charges
Average Total Payments
Number of discharges: 16
Average Covered Charges
Average Total Payments
Number of discharges: 23
Average Covered Charges
Average Total Payments
Number of discharges: 25
Average Covered Charges
Average Total Payments
Number of discharges: 20
Average Covered Charges
Average Total Payments
Number of discharges: 12
Average Covered Charges
Average Total Payments
Number of discharges: 29
Average Covered Charges
Average Total Payments
Number of discharges: 16
Average Covered Charges
Average Total Payments
Number of discharges: 17
Average Covered Charges
Average Total Payments
Number of discharges: 17
Average Covered Charges
Average Total Payments
Number of discharges: 21
Average Covered Charges
Average Total Payments
Number of discharges: 27
Average Covered Charges
Average Total Payments
Number of discharges: 418
Average Covered Charges
Average Total Payments
Number of discharges: 13
Average Covered Charges
Average Total Payments
Number of discharges: 12
Average Covered Charges
Average Total Payments
Number of discharges: 19
Average Covered Charges
Average Total Payments
Number of discharges: 22
Average Covered Charges
Average Total Payments
Number of discharges: 11
Average Covered Charges
Average Total Payments
Number of discharges: 17
Average Covered Charges
Average Total Payments
Number of discharges: 17
Average Covered Charges
Average Total Payments
Number of discharges: 21
Average Covered Charges
Average Total Payments
Number of discharges: 12
Employment Full-Time EquivalentAdministrative Staff - Part Time: 0.57Food Service Personnel - Full Time: 1.14 Housekeeping Personnel - Full Time: 4.11 Licensed Practical/ Vocational Nurses - Full Time: 90.86 Licensed Practical/ Vocational Nurses - Part Time: 2.06 Medical Directors - Under Contract: 0.86 Mental Health Services Personnel - Under Contract: 0.11 Occupational Therapy Aides - Full Time: 1.14 Registered Nurses - Full Time: 18.00 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 3.43 Activities Professionals - Full Time: 1.14 Dentists - Under Contract: 0.11 Dietitians - Part Time: 0.86 Nurses With Administrative Duties - Part Time: 0.57 Occupational Therapists - Part Time: 0.86 Physical Therapists - Part Time: 0.86 Podiatrists - Under Contract: 0.17 Nurse Aides In Training - Full Time: 4.80 Other Physicians - Under Contract: 0.29 Registered Nurses - Part Time: 1.94 Speech Pathologists - Part Time: 0.57 Pharmacists - Part Time: 1.14 Provided Services
Quality MeasuresPercent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of long-stay residents who received an antipsychotic medication
Process of CareHeart AttackPercent of Patients Given Aspirin at Arrival
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
Heart FailurePercent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
Percent of Patients Given Discharge Instructions
Percent of Patients Given Smoking Cessation Advice/Counseling
PneumoniaPercent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
Percent of Patients Given Smoking Cessation Advice/Counseling
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
Percent of Patients Assessed and Given Influenza Vaccination
Percent of Patients Assessed and Given Pneumococcal Vaccination
SurgeryPercent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
Outcome of Care30-Day Mortality Rates from Heart Failure
30-Day Mortality Rates from Pneumonia
30-Day Readmission Rates from Heart Failure
30-Day Readmission Rates from Pneumonia
Hospital Acquired ConditionsSigns of Uncontrolled Blood Sugar
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Hospital Consumer Assessment of Healthcare ProvidersNumber of Completed Surveys: 300 or moreSurvey Response Rate: 30% How often did nurses communicate well with patients? Sometimes or never
Usually
Always
How often did doctors communicate well with patients? Sometimes or never
Usually
Always
How often did patients receive help quickly from hospital staff? Sometimes or never
Usually
Always
How often was patients' pain well controlled? Sometimes or never
Usually
Always
How often did staff explain about medicines before giving them to patients? Sometimes or never
Usually
Always
How often were the patients' rooms and bathrooms kept clean? Sometimes or never
Usually
Always
How often was the area around patients' rooms kept quiet at night? Sometimes or never
Usually
Always
Were patients given information about what to do during their recovery at home? Yes
No
How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)? 6 or lower
7 or 8
9 or 10
Would patients recommend the hospital to friends and family? No
Yes, probably
Yes, definitely
Complaint DeficiencyKeep each resident's personal and medical records private and confidential: Some (Potential for minimal harm)Allow residents to easily view the results of the nursing home's most recent survey: Some (Potential for minimal harm) Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm) Maintain comfortable and safe temperature levels: Some (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm) Check and assess each resident's assessment at least every 3 months: Some (Potential for minimal harm) Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: 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) 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: Some (Potential for minimal 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) Put firmly secured handrails on each side of hallways: Some (Potential for minimal 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 (Potential for minimal harm) Fire-resistant room wall surfaces: Few (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm) Proper stairway enclosures and vertical shafts: Many (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: 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) Corridors or aisles that are unobstructed and are at least 8 feet in width: Few (Minimal harm or potential for actual harm) Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm) Record of quarterly fire drills for each shift under varying conditions: Few (Minimal harm or potential for actual harm) Properly working alarms on sprinkler valves: Many (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) Properly protected cooking facilities: 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) A properly installed master alarm panel: Few (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Few (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: Some (Minimal harm or potential for actual harm) Signs that state that exit doors are to be kept closed: 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) 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) Record of quarterly fire drills for each shift under varying conditions: 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) Restrictions on the use of portable space heaters: Some (Minimal harm or potential for actual harm) Other fire safety features required by fire safety codes: Few (Minimal harm or potential for actual harm) Allow residents to easily view the results of the nursing home's most recent survey: Some (Potential for minimal harm) Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm) Maintain comfortable and safe temperature levels: Some (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: 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 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: Some (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: Some (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: Few (Minimal harm or potential for actual harm) Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: 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) Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm) Dispose of garbage and refuse properly: 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: 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) Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm) Have enough backup water supply for essential areas of the nursing home: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: 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: Few (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) An approved installation, maintenance and testing program for fire alarm systems: 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) Portable fire extinguishers: Few (Minimal harm or potential for actual 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) Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm) Properly protected cooking facilities: 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) Tell the resident completely about his or her health status, care and treatments: Few (Minimal harm or potential for actual harm) Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm) Provide a safe, clean, comfortable and homelike environment: 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 (Minimal harm or potential for actual harm) Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Some (Potential for minimal harm) Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Some (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: Some (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: Some (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) Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: 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: Some (Minimal harm or potential for actual harm) Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: 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) Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms: Some (Potential for minimal harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Potential for minimal harm) Train all employees on what to do in an emergency, and carry out announced staff drills: 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) Other nearby hospitals and nursing homes
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