ROYAL CARE SKILLED NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Royal Care Skilled Nursing 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

ROYAL CARE SKILLED NURSING CENTER
2725 PACIFIC AVENUE
LONG BEACH, CA 90806
(562) 427-7493

Nursing Home Ratings

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

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

  • Residents: 75
  • Certified Beds: 98

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • 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 Royal Care Skilled Nursing 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.0%
Total Percent:1.0%
 

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: 11-1616.5%
ADL Index Range: 6-1040.0%
ADL Index Range: 0-515.4%
Total Percent:71.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.5%
ADL Index Range: 6-1011.2%
ADL Index Range: 0-58.4%
Total Percent:23.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-52.2%
Total Percent:2.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-51.2%
Total Percent:1.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.6%
Total Percent:0.6%
 

Rating Details For Royal Care Skilled Nursing 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) Hours33 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 28 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 36 Minutes1 Hour and 56 Minutes
Total Nurse Hours4 Hours and 3 Minutes4 Hours and 22 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 Season56%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination44%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained2%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Lose Too Much Weight9%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious3%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder67%58%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season55%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination35%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%23%
Percent of Short-Stay Residents Who Have Pressure Sores9%17%

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 11/12/2010.

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

Environmental

Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/29/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/29/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/13/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/16/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/16/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/16/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/31/2008
  • Correction Date: 08/29/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/13/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/16/2010
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: 11/12/2010
  • Correction Date: 12/16/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/13/2009

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/13/2009

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 Royal Care Skilled Nursing 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 11/12/2010.

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: 11/12/2010
  • Correction Date: 12/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/06/2008
  • Correction Date: 09/02/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/06/2008
  • Correction Date: 09/02/2008

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 08/06/2008
  • Correction Date: 09/02/2008
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/13/2009
Fire-Resistant Interior Walls.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/20/2010
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/20/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 11/12/2010
  • Correction Date: 12/20/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/13/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/18/2009
  • Correction Date: 10/13/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011