ROYAL GARDEN EXTENDED CARE HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Royal Garden Extended Care Hospital. 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 GARDEN EXTENDED CARE HOSPITAL
2339 W. VALLEY BLVD.
ALHAMBRA, CA 91803
(626) 289-7809

Nursing Home Ratings

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

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 41
  • Certified Beds: 43

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not 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 "Very 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 Garden Extended Care Hospital. 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 11-163.0%
Total Percent:3.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1623.9%
ADL Index Range: 6-1020.9%
ADL Index Range: 0-523.9%
Total Percent:68.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1617.9%
Total Percent:17.9%
 

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
10.4%
Total Percent:10.4%
 

Rating Details For Royal Garden Extended Care Hospital

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) Hours38 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours53 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 44 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 31 Minutes1 Hour and 57 Minutes
Total Nurse Hours4 Hours and 15 Minutes4 Hours and 27 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 Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%58%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%11%
Percent of Long-Stay Residents Who Lose Too Much Weight11%7%
Percent of Long-Stay Residents Who Were Physically Restrained2%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain-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 04/20/2010.

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

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 01/30/2008
  • Correction Date: 03/14/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009
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: 01/30/2009
  • Correction Date: 03/02/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010
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: 04/20/2010
  • Correction Date: 05/19/2010

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: 01/30/2008
  • Correction Date: 03/14/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 01/30/2009
  • Correction Date: 03/02/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/20/2010
  • Correction Date: 05/19/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Royal Garden Extended Care Hospital, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Keep Temperature Levels Comfortable and Safe.
  • Complaint Filed: 08/26/2008
  • Correction Date: 09/25/2008

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 Garden Extended Care Hospital 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 04/26/2010.

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

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/29/2009
  • Correction Date: 02/13/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/05/2008
  • Correction Date: 02/22/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/29/2009
  • Correction Date: 02/13/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/26/2010
  • Correction Date: 05/20/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 02/05/2008
  • Correction Date: 02/22/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/26/2010
  • Correction Date: 05/20/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011