CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Carmel Mountain Rehabilitation & Healthcare 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

CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER
11895 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128
(858) 673-0101

Nursing Home Ratings

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

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 109
  • Certified Beds: 120

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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Nearby Cities:

Poway | Escondido | Encinitas

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 Carmel Mountain Rehabilitation & Healthcare 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 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: 11-1624.5%
Total Percent:24.5%
 

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: 11-160.6%
Total Percent:0.6%
 

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: 11-161.5%
Total Percent:1.5%
 

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: 11-160.5%
Total Percent:0.5%
 

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: 11-1620.7%
ADL Index Range: 6-1036.4%
ADL Index Range: 0-59.5%
Total Percent:66.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.1%
ADL Index Range: 6-102.0%
ADL Index Range: 0-50.4%
Total Percent:3.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.2%
ADL Index Range: 6-101.9%
Total Percent:2.1%
 

Extensive Services

  • 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: 2-16
- Tracheostomy care and ventilator/respirator
0.4%
Total Percent:0.4%
 

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: 2-5
- No Signs of depression
0.2%
Total Percent:0.2%
 

Rating Details For Carmel Mountain Rehabilitation & Healthcare 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 19 Minutes1 Hour and 24 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 15 Minutes53 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 36 Minutes
Total Licensed Nurse Hours2 Hours and 34 Minutes2 Hours and 17 Minutes
Total Nurse Hours5 Hours and 14 Minutes4 Hours and 52 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 Vaccination76%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season83%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair8%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%9%
Percent of Long-Stay Residents Who Were Physically Restrained12%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%4%
Percent of Long-Stay Residents Who Lose Too Much Weight5%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores8%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%10%
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 Sores33%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder63%58%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain31%23%
Percent of Short-Stay Residents Who Have Pressure Sores32%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 03/24/2011.

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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Get Rid of Garbage Properly.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Provide Enough Emergency Electricity.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Keep Sound Levels Comfortable.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
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: 03/12/2009
  • Correction Date: 04/07/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009

Pharmacy Service

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: 03/12/2009
  • Correction Date: 04/07/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/28/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/28/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/28/2011
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/28/2011

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: 03/12/2009
  • Correction Date: 04/07/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/28/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/07/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/14/2010

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 Carmel Mountain Rehabilitation & Healthcare 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 03/29/2011.

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

Portable Fire Extinguishers.
  • Inspection Date: 04/09/2009
  • Correction Date: 04/28/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/21/2010
  • Correction Date: 06/21/2010
Portable Fire Extinguishers.
  • Inspection Date: 04/21/2010
  • Correction Date: 06/21/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/02/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/09/2009
  • Correction Date: 04/28/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/09/2009
  • Correction Date: 04/28/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/02/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/02/2011

Emergency Plans and Fire Drills

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

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 04/21/2010
  • Correction Date: 06/21/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/02/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/02/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/09/2009
  • Correction Date: 04/28/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/09/2009
  • Correction Date: 04/28/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/21/2010
  • Correction Date: 06/21/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/09/2009
  • Correction Date: 04/28/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011