HOLLYWOOD PRESBYTERIAN MEDICAL CENTER (DISTINCT PART SNF)
Address
4636 FOUNTAIN AVENUE
LOS ANGELES, CA 90029
(323) 913-4830
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 72
- Certified Beds: 89
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Partnership
- Offers Both Resident and Family Counseling Services
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
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 "Extensive Services". 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 Hollywood Presbyterian Medical Center (Distinct Part Snf). For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Resident Services | Resident Conditions | Percent of Service Days |
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 | 89.4% |
ADL Index Range: 2-16 - Tracheostomy care or ventilator/respirator | 10.6% |
Total Percent: | 100.0% |
Rating Details For Hollywood Presbyterian Medical Center (Distinct Part Snf)
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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 1 Hour and 22 Minutes | 1 Hour and 55 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 3 Hours and 45 Minutes | 1 Hour and 26 Minutes |
Certified Nursing Assistant (CNA) Hours | 4 Hours and 6 Minutes | 2 Hours and 52 Minutes |
Total Licensed Nurse Hours | 5 Hours and 7 Minutes | 3 Hours and 21 Minutes |
Total Nurse Hours | 9 Hours and 12 Minutes | 6 Hours and 12 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 Facility | California Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 73% | 87% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 64% | 86% |
Long-Term Stay Deficiencies
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 58% | 58% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 45% | 12% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 9% | 8% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 7% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 6% | 9% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 6% | 4% |
Percent of Long-Stay Residents Who Were Physically Restrained | 5% | 7% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 5% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 4% | 11% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 25% | 8% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 34% | 81% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 49% | 83% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 1% | 23% |
Percent of Short-Stay Residents Who Have Pressure Sores | 51% | 17% |
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 08/09/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|
Environmental
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Get Rid of Garbage Properly.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
| ||
Provide Needed Housekeeping and Maintenance.
| ||
Keep Safe, Clean and Homelike Surroundings.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
|
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| ||
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
|
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| ||
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.
| ||
Properly Mark Drugs and Other Similar Products.
| ||
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.
| ||
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| ||
Make Sure That Residents Are Safe from Serious Medication Errors.
| ||
Properly Mark Drugs and Other Similar Products.
|
Quality Care
Provide Activities to Meet the Needs of Each Resident.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| ||
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
|
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
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.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| ||
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
|
Resident Rights
Tell the Resident Completely About His or Her Health Status.
| ||
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
| ||
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.
| ||
Keep Each Resident's Personal and Medical Records Private and Confidential.
|
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Hollywood Presbyterian Medical Center (Distinct Part Snf), 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 Complaints | Degree of Harm | Residents Affected |
Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
|
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 Hollywood Presbyterian Medical Center (Distinct Part Snf) 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 08/13/2010.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Properly Working Alarms on Sprinkler Valves.
|
Building Service Equipment
An Externally Vented Heating System.
|
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
|
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
|
Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
|
Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
|
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| ||
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
|
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
| ||
Fire Safety Features Required by Current Fire Safety Codes.
|
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
|