MARLINDA IMPERIAL CONVALESCENT HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Marlinda Imperial Convalescent Hospital. 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

MARLINDA IMPERIAL CONVALESCENT HOSPITAL
150 BELLEFONTAINE
PASADENA, CA 91105
(626) 796-1103

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 102
  • Certified Beds: 130

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • 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 "Very 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 Marlinda Imperial Convalescent Hospital. 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: 2-1016.3%
Total Percent:16.3%
 

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: 6-1012.2%
Total Percent:12.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1626.8%
ADL Index Range: 6-106.1%
ADL Index Range: 0-513.0%
Total Percent:45.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.5%
ADL Index Range: 6-103.3%
Total Percent:11.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-109.8%
ADL Index Range: 0-53.7%
Total Percent:13.4%
 

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: 6-10
- No Signs of depression
0.4%
Total Percent:0.4%
 

Rating Details For Marlinda Imperial Convalescent Hospital

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) Hours33 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 38 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 23 Minutes1 Hour and 46 Minutes
Total Nurse Hours4 Hours and 1 Minutes4 Hours and 11 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 Vaccination63%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season64%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair11%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder63%58%
Percent of Long-Stay Residents Who Were Physically Restrained26%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%9%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination63%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season71%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores34%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%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 04/29/2011.

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

Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011
Have Enough Outside Airflow.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/20/2008
  • Correction Date: 01/14/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
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: 01/27/2010
  • Correction Date: 05/04/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
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: 04/29/2011
  • Correction Date: 07/08/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/20/2008
  • Correction Date: 01/14/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/20/2008
  • Correction Date: 01/16/2009
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: 10/20/2008
  • Correction Date: 01/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/29/2011
  • Correction Date: 07/08/2011

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
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: 10/20/2008
  • Correction Date: 12/05/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 10/20/2008
  • Correction Date: 12/05/2008
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: 01/27/2010
  • Correction Date: 05/04/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/04/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 01/27/2010
  • Correction Date: 05/20/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)10/20/2008$5,460
Civil Money Penalty (CMP)10/20/2008$6,630
Civil Money Penalty (CMP)10/20/2008$18,428
Denial of Payment for New Admission (DPNA)10/20/2008-

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 Marlinda Imperial Convalescent Hospital 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 04/27/2011.

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: 10/14/2008
  • Correction Date: 03/13/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/25/2010
  • Correction Date: 05/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/25/2010
  • Correction Date: 05/04/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 01/25/2010
  • Correction Date: 05/04/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/14/2008
  • Correction Date: 03/13/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 01/25/2010
  • Correction Date: 05/04/2010
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/25/2010
  • Correction Date: 05/04/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/27/2011
  • Correction Date: 07/09/2011
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011