HOLLYWOOD PRESBYTERIAN MEDICAL CENTER (DISTINCT PART SNF)

The information listed below provides an in-depth look into the type and quality of care offered at Hollywood Presbyterian Medical Center (Distinct Part Snf). 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

HOLLYWOOD PRESBYTERIAN MEDICAL CENTER (DISTINCT PART SNF)
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

81%

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

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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 "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 ServicesResident ConditionsPercent 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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 22 Minutes1 Hour and 55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours3 Hours and 45 Minutes1 Hour and 26 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours and 6 Minutes2 Hours and 52 Minutes
Total Licensed Nurse Hours5 Hours and 7 Minutes3 Hours and 21 Minutes
Total Nurse Hours9 Hours and 12 Minutes6 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 FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season73%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination64%86%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder58%58%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores45%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious6%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Who Were Physically Restrained5%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased4%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair25%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination34%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season49%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain1%23%
Percent of Short-Stay Residents Who Have Pressure Sores51%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 InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Get Rid of Garbage Properly.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
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.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
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: 07/31/2009
  • Correction Date: 10/09/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009
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: 08/09/2010
  • Correction Date: 10/13/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 07/18/2008
  • Correction Date: 09/04/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/31/2009
  • Correction Date: 10/09/2009
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: 07/31/2009
  • Correction Date: 10/09/2009
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: 07/31/2009
  • Correction Date: 10/09/2009
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: 08/09/2010
  • Correction Date: 10/13/2010
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.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010
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: 08/09/2010
  • Correction Date: 10/13/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/09/2010
  • Correction Date: 10/13/2010

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 ComplaintsDegree of HarmResidents Affected

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 04/07/2008
  • Correction Date: 06/02/2008

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 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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 07/28/2009
  • Correction Date: 10/15/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/08/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/28/2009
  • Correction Date: 10/15/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/08/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/28/2009
  • Correction Date: 10/15/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/28/2009
  • Correction Date: 10/15/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 07/28/2009
  • Correction Date: 10/15/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/13/2010
  • Correction Date: 10/14/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011