PALM TERRACE HEALTHCARE & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Palm Terrace Healthcare & Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

PALM TERRACE HEALTHCARE & REHABILITATION CENTER
24962 CALLE ARAGON
LAGUNA HILLS, CA 92653
(949) 587-9000

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 85
  • Certified Beds: 99

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Palm Terrace Healthcare & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1666.3%
ADL Index Range: 6-1018.2%
ADL Index Range: 0-50.2%
Total Percent:84.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.2%
ADL Index Range: 6-101.4%
Total Percent:7.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.2%
ADL Index Range: 6-101.6%
Total Percent:1.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.3%
ADL Index Range: 6-100.2%
Total Percent:1.5%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.3%
Total Percent:0.3%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.0%
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:1.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.8%
ADL Index Range: 11-14
- Signs of depression
0.7%
ADL Index Range: 11-14
- No Signs of depression
0.4%
Total Percent:2.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.07%
Total Percent:0.07%
 

Rating Details For Palm Terrace Healthcare & Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 15 Minutes1 Hour and 42 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 8 Minutes56 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes2 Hours and 49 Minutes
Total Licensed Nurse Hours2 Hours and 22 Minutes2 Hours and 38 Minutes
Total Nurse Hours4 Hours and 55 Minutes5 Hours and 26 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season69%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination78%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%12%
Percent of Long-Stay Residents Who Lose Too Much Weight11%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Were Physically Restrained8%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder86%58%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season74%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores26%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain32%23%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/21/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Keep Sound Levels Comfortable.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Hire a Qualified Dietician.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
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.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
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.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/04/2008
  • Correction Date: 04/29/2008
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/15/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/21/2010
  • Correction Date: 09/02/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Palm Terrace Healthcare & Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/20/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Portable Fire Extinguishers.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/12/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Approved Construction Type or Materials.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009
Approved Construction Type or Materials.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/12/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/12/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009
An Automatic Smoke Detection System in All Hallways.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/28/2009
  • Correction Date: 05/18/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/09/2008
  • Correction Date: 04/28/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/20/2010
  • Correction Date: 08/12/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011