MARYCREST MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Marycrest Manor. 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

MARYCREST MANOR
10664 ST. JAMES DRIVE
CULVER CITY, CA 90230
(310) 838-2778

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 55
  • Certified Beds: 57

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 "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 Marycrest Manor. 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: 2-108.4%
Total Percent:8.4%
 

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: 11-1639.2%
ADL Index Range: 6-1014.8%
ADL Index Range: 0-50.4%
Total Percent:54.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.9%
ADL Index Range: 6-1021.9%
Total Percent:35.9%
 

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: 6-10
- No Signs of depression
0.8%
Total Percent:0.8%
 

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
- Signs of depression
0.4%
Total Percent:0.4%
 

Rating Details For Marycrest Manor

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) Hours20 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 16 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 39 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours1 Hour and 36 Minutes1 Hour and 48 Minutes
Total Nurse Hours4 Hours and 15 Minutes4 Hours and 16 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 Lose Too Much Weight5%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%
Percent of Long-Stay Residents Who Were Physically Restrained7%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder27%58%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%

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%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores26%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain31%23%

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 08/03/2010.

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: 05/14/2009
  • Correction Date: 06/20/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/03/2010
  • Correction Date: 10/05/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/20/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/20/2009

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/20/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/08/2008
  • Correction Date: 06/20/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/08/2008
  • Correction Date: 06/20/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/03/2010
  • Correction Date: 10/05/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/03/2010
  • Correction Date: 10/05/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Marycrest Manor, 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 a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Complaint Filed: 08/03/2010
  • Correction Date: 10/05/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Complaint Filed: 08/03/2010
  • Correction Date: 10/05/2010
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Complaint Filed: 08/03/2010
  • Correction Date: 10/05/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 08/03/2010
  • Correction Date: 10/05/2010

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 Marycrest Manor 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 08/04/2010.

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

Portable Fire Extinguishers.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009
Portable Fire Extinguishers.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/01/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/04/2010
  • Correction Date: 09/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/29/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/19/2009
  • Correction Date: 06/05/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011