SAINT FRANCIS MEDICAL CENTER DISTINCT PART

The information listed below provides an in-depth look into the type and quality of care offered at Saint Francis Medical Center Distinct Part. 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

SAINT FRANCIS MEDICAL CENTER DISTINCT PART
3630 IMPERIAL HWY.
LYNWOOD, CA 90262
(310) 603-6084

Nursing Home Ratings

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

Percent of Beds Occupied

67%

Number of Residents and Certified Beds

  • Residents: 20
  • Certified Beds: 30

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Compton | Los Angeles | South Gate

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 "Clinically Complex". 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 Saint Francis Medical Center Distinct Part. 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

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-1012.1%
Total Percent:12.1%
 

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
- Isolation for active infectious disease
10.7%
Total Percent:10.7%
 

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
8.7%
ADL Index Range: 2-5
- No Signs of depression
3.3%
Total Percent:12.1%
 

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
- No Signs of depression
3.6%
ADL Index Range: 6-10
- No Signs of depression
6.9%
ADL Index Range: 2-5
- No Signs of depression
1.3%
Total Percent:11.8%
 

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
23.2%
ADL Index Range: 0-1
- No Signs of depression
27.5%
Total Percent:50.7%
 

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: 0-1
- Less restorative nursing
2.7%
Total Percent:2.7%
 

Rating Details For Saint Francis Medical Center Distinct Part

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) Hours2 Hours and 21 Minutes1 Hour and 54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours2 Hours and 17 Minutes1 Hour and 9 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours and 34 Minutes2 Hours and 38 Minutes
Total Licensed Nurse Hours4 Hours and 38 Minutes3 Hours and 3 Minutes
Total Nurse Hours9 Hours and 12 Minutes5 Hours and 40 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

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%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 Have Pressure Sores20%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain36%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 10/04/2010.

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

Administration

Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/25/2009
  • Correction Date: 12/03/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/25/2009
  • Correction Date: 12/03/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/25/2009
  • Correction Date: 12/03/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
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: 09/25/2009
  • Correction Date: 12/03/2009
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: 10/04/2010
  • Correction Date: 11/19/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010

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: 09/25/2009
  • Correction Date: 12/03/2009
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: 09/25/2009
  • Correction Date: 12/03/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/21/2008
  • Correction Date: 10/22/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 10/04/2010
  • Correction Date: 11/19/2010

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 Saint Francis Medical Center Distinct Part 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 10/12/2010.

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

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 09/02/2008
  • Correction Date: 10/24/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/28/2009
  • Correction Date: 01/07/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/28/2009
  • Correction Date: 01/07/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/30/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/02/2008
  • Correction Date: 10/24/2008

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 09/28/2009
  • Correction Date: 01/07/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 09/02/2008
  • Correction Date: 10/24/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/28/2009
  • Correction Date: 01/07/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/28/2009
  • Correction Date: 01/07/2010
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/30/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011