SOLHEIM LUTHERAN HOME

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

SOLHEIM LUTHERAN HOME
2236 MERTON AVE.
LOS ANGELES, CA 90041
(323) 257-7518

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 67
  • Certified Beds: 76

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • Part of a Continuing Care Retirement Community (CCRC)
  • 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 "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 Solheim Lutheran Home. 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

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: 11-1610.2%
ADL Index Range: 2-105.1%
Total Percent:15.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.2%
ADL Index Range: 6-108.2%
Total Percent:17.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1621.4%
ADL Index Range: 6-1021.4%
ADL Index Range: 0-519.4%
Total Percent:62.2%
 

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
- Isolation for active infectious disease
3.6%
Total Percent:3.6%
 

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
1.5%
Total Percent:1.5%
 

Rating Details For Solheim Lutheran Home

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) Hours26 Minutes57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours58 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 1 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 34 Minutes
Total Nurse Hours4 Hours and 25 Minutes4 Hours and 8 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 Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Were Physically Restrained3%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%58%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season81%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination57%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores22%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%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 06/22/2010.

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: 04/25/2008
  • Correction Date: 05/23/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

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: 04/25/2008
  • Correction Date: 05/23/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
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: 06/22/2010
  • Correction Date: 07/12/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

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: 04/25/2008
  • Correction Date: 05/23/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
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: 06/22/2010
  • Correction Date: 07/12/2010
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 04/25/2008
  • Correction Date: 05/23/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/27/2009
  • Correction Date: 05/26/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 06/22/2010
  • Correction Date: 07/12/2010

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 Solheim Lutheran Home 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 06/18/2010.

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: 04/30/2008
  • Correction Date: 05/14/2008
Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 05/11/2009
  • Correction Date: 05/27/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/30/2008
  • Correction Date: 05/14/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/11/2009
  • Correction Date: 05/27/2009
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/30/2008
  • Correction Date: 05/14/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 04/30/2008
  • Correction Date: 05/14/2008
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/11/2009
  • Correction Date: 05/27/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/30/2008
  • Correction Date: 05/14/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/30/2008
  • Correction Date: 05/14/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 06/18/2010
  • Correction Date: 07/12/2010

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: 05/11/2009
  • Correction Date: 05/27/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011