COUNTRY VILLA REHABILITATION CENTER

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

COUNTRY VILLA REHABILITATION CENTER
340 SOUTH ALVARADO STREET
LOS ANGELES, CA 90057
(213) 484-9730

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 161
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is 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 Country Villa Rehabilitation 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three 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: 11-1611.4%
ADL Index Range: 2-103.3%
Total Percent:14.7%
 

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: 11-160.5%
Total Percent:0.5%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 11-161.4%
Total Percent:1.4%
 

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: 11-1628.5%
ADL Index Range: 6-1022.6%
ADL Index Range: 0-57.6%
Total Percent:58.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.5%
ADL Index Range: 6-101.6%
ADL Index Range: 0-56.1%
Total Percent:9.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.1%
ADL Index Range: 6-102.6%
Total Percent:4.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.09%
ADL Index Range: 6-100.8%
ADL Index Range: 0-50.6%
Total Percent:1.4%
 

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
- Tracheostomy care and ventilator/respirator
0.3%
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
5.8%
ADL Index Range: 2-16
- Isolation for active infectious disease
0.9%
Total Percent:7.0%
 

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
0.09%
Total Percent:0.09%
 

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
0.7%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:1.0%
 

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
0.1%
ADL Index Range: 0-1
- No Signs of depression
1.2%
Total Percent:1.4%
 

Rating Details For Country Villa Rehabilitation 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 4 Minutes1 Hour and 25 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 20 Minutes52 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 42 Minutes2 Hours and 33 Minutes
Total Licensed Nurse Hours2 Hours and 25 Minutes2 Hours and 17 Minutes
Total Nurse Hours5 Hours and 7 Minutes4 Hours and 50 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 Season42%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination23%86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious5%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder75%58%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores12%12%
Percent of Long-Stay Residents Who Were Physically Restrained8%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season21%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination6%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%23%
Percent of Short-Stay Residents Who Have Pressure Sores24%17%
Percent of Short-Stay Residents Who Have Delirium1%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 07/13/2010.

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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Keep Sound Levels Comfortable.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
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: 03/19/2009
  • Correction Date: 05/19/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010

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: 12/11/2007
  • Correction Date: 01/29/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010

Resident Rights

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: 12/11/2007
  • Correction Date: 01/29/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/11/2007
  • Correction Date: 01/29/2008
Make Sure That Each Resident Has the Right to Join in Social, Religious, and Community Activities.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 03/19/2009
  • Correction Date: 05/19/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/13/2010
  • Correction Date: 10/08/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Country Villa Rehabilitation 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

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
  • Complaint Filed: 07/13/2010
  • Correction Date: 10/08/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/13/2010
  • Correction Date: 10/08/2010

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 Country Villa Rehabilitation 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 07/08/2010.

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

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 12/11/2007
  • Correction Date: 02/06/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Building Service Equipment

An Elevator That Firefighters Can Control in the Event of a Fire.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010
An Elevator That Firefighters Can Control in the Event of a Fire.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/11/2007
  • Correction Date: 02/06/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 03/14/2009
  • Correction Date: 05/19/2009
Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/02/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011