MOUNTAINS COMMUNITY HOSPITAL (DISTINCT PART SNF)

The information listed below provides an in-depth look into the type and quality of care offered at Mountains Community Hospital (Distinct Part Snf). 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

MOUNTAINS COMMUNITY HOSPITAL (DISTINCT PART SNF)
29101 HOSPITAL ROAD
LAKE ARROWHEAD, CA 92352
(909) 336-3651

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 18
  • Certified Beds: 20

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - Hospital District
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Rating Details For Mountains Community Hospital (Distinct Part Snf)

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) Hours42 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 33 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 7 Minutes1 Hour and 51 Minutes
Total Licensed Nurse Hours2 Hours and 15 Minutes1 Hour and 31 Minutes
Total Nurse Hours5 Hours and 21 Minutes3 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 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 Are More Depressed or Anxious-9%
Percent of Long-Stay Residents Who Lose Too Much Weight10%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection18%8%
Percent of Long-Stay Residents Who Were Physically Restrained-7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder36%58%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain25%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%

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 05/16/2011.

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

Post Nurse Staffing Information.
  • Inspection Date: 05/16/2011
  • Correction Date: 06/03/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/13/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/13/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/13/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/30/2010
  • Correction Date: 08/17/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 05/16/2011
  • Correction Date: 06/03/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/13/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/13/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/30/2010
  • Correction Date: 08/17/2010

Resident Assessment

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: 06/30/2010
  • Correction Date: 08/17/2010

Resident Rights

Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 04/09/2009
  • Correction Date: 05/13/2009
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: 06/30/2010
  • Correction Date: 08/17/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 06/30/2010
  • Correction Date: 08/17/2010

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 Mountains Community Hospital (Distinct Part Snf) 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 05/31/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/20/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 05/28/2010
  • Correction Date: 06/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/20/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/28/2010
  • Correction Date: 06/15/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/31/2011
  • Correction Date: 06/15/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/20/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/28/2010
  • Correction Date: 06/15/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/28/2010
  • Correction Date: 06/15/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 05/31/2011
  • Correction Date: 06/15/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/20/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011