ST. JOHN OF GOD RETIREMENT

The information listed below provides an in-depth look into the type and quality of care offered at St. John of God Retirement. 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

ST. JOHN OF GOD RETIREMENT
2468 SOUTH ST ANDREWS PLACE
LOS ANGELES, CA 90018
(323) 731-0641

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: 124
  • Certified Beds: 131

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • 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 St. John of God Retirement. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three 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: 2-101.9%
Total Percent:1.9%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-102.8%
Total Percent:2.8%
 

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: 11-165.3%
ADL Index Range: 6-105.6%
ADL Index Range: 0-56.1%
Total Percent:17.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.4%
ADL Index Range: 6-1022.5%
ADL Index Range: 0-515.5%
Total Percent:38.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.1%
ADL Index Range: 6-1011.9%
ADL Index Range: 0-59.2%
Total Percent:22.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-104.7%
ADL Index Range: 0-52.8%
Total Percent:7.5%
 

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
2.1%
Total Percent:2.1%
 

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: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- No Signs of depression
0.3%
Total Percent:1.3%
 

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
5.0%
ADL Index Range: 0-1
- No Signs of depression
0.7%
Total Percent:5.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
1.1%
Total Percent:1.1%
 

Rating Details For St. John of God Retirement

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) Hours22 Minutes1 Hour and 9 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 25 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 25 Minutes1 Hour and 50 Minutes
Total Nurse Hours3 Hours and 50 Minutes4 Hours and 7 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 Vaccination78%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder60%58%
Percent of Long-Stay Residents Who Were Physically Restrained9%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair10%8%
Percent of Long-Stay Residents Who Lose Too Much Weight2%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season77%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination60%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores23%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain19%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 08/25/2010.

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: 07/02/2008
  • Correction Date: 08/21/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Follow All Laws and Professional Standards.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010

Environmental

Get Rid of Garbage Properly.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010

Nutrition and Dietary

Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
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: 06/10/2009
  • Correction Date: 07/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
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: 08/25/2010
  • Correction Date: 10/25/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 07/02/2008
  • Correction Date: 08/21/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/28/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 08/25/2010
  • Correction Date: 10/25/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. John of God Retirement, 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

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/25/2010
  • Correction Date: 10/25/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 10/31/2008
  • Correction Date: 07/14/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/31/2008
  • Correction Date: 07/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/23/2009
  • Correction Date: 08/13/2009

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 St. John of God Retirement 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 08/24/2010.

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

Properly Working Sprinkler Alarm System.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Portable Fire Extinguishers.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/05/2008
  • Correction Date: 09/23/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/10/2009
  • Correction Date: 07/24/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 08/24/2010
  • Correction Date: 09/24/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011