BROOKFIELD HEALTHCARE CENTER

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

BROOKFIELD HEALTHCARE CENTER
9300 TELEGRAPH ROAD
DOWNEY, CA 90240
(562) 869-2567

Nursing Home Ratings

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

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 60
  • Certified Beds: 70

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:

Pico Rivera | Bell Gardens | Norwalk

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 Brookfield 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1666.7%
ADL Index Range: 6-1014.4%
ADL Index Range: 0-50.5%
Total Percent:81.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.3%
ADL Index Range: 6-100.2%
Total Percent:12.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.6%
Total Percent:0.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.5%
Total Percent:2.5%
 

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
0.2%
Total Percent:0.2%
 

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
- Signs of depression
0.6%
ADL Index Range: 15-16
- No Signs of depression
0.7%
ADL Index Range: 11-14
- Signs of depression
0.9%
ADL Index Range: 11-14
- No Signs of depression
0.08%
ADL Index Range: 2-5
- No Signs of depression
0.04%
Total Percent:2.3%
 

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: 15-16
- No Signs of depression
0.04%
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:0.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.1%
Total Percent:0.1%
 

Rating Details For Brookfield 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 9 Minutes1 Hour and 39 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes53 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 30 Minutes2 Hours and 42 Minutes
Total Licensed Nurse Hours1 Hour and 58 Minutes2 Hours and 33 Minutes
Total Nurse Hours4 Hours and 29 Minutes5 Hours and 15 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 Season77%87%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder71%58%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection20%8%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse3%10%
Percent of Long-Stay Residents Who Were Physically Restrained9%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased3%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season88%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores27%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain26%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 08/08/2010.

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

Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/17/2009
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/14/2009
  • Correction Date: 08/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/14/2009
  • Correction Date: 08/25/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 05/14/2009
  • Correction Date: 08/25/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/19/2008
  • Correction Date: 04/21/2008
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: 05/14/2009
  • Correction Date: 07/27/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 05/14/2009
  • Correction Date: 07/27/2009
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 08/08/2010
  • Correction Date: 08/31/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Brookfield Healthcare Center, 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

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/11/2008
  • Correction Date: 01/21/2009

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 Brookfield 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 08/07/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/15/2009
  • Correction Date: 01/01/1900
Portable Fire Extinguishers.
  • Inspection Date: 05/15/2009
  • Correction Date: 01/01/1900

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/15/2009
  • Correction Date: 01/01/1900

Electrical

A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 05/15/2009
  • Correction Date: 01/01/1900

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/04/2008
  • Correction Date: 04/21/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/15/2009
  • Correction Date: 01/01/1900

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/15/2009
  • Correction Date: 01/01/1900
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/07/2010
  • Correction Date: 08/30/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/07/2010
  • Correction Date: 08/30/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011