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Capistrano Beach Care Center

35410 Del Rey
Capistrano Beach, CA 92624
(949) 496-5786

General Information

Capistrano Beach Care Center is a for-profit institution owned by Capistrano Beach Care Center, LLC. This facility has 93 certified beds and is not in a hospital or a continuing care retirement community (CCRC).

Fines and Citations

As a result of their last health inspection on April 10, 2018, they received 12 citations for failure to:

  • A resident was exhibiting behaviors such as calling out and not wanting workers to leave said resident’s room. However, the resident’s notes stated they were not exhibiting any behavior to indicate possible mental health issues;
  • The facility put a resident at risk by not creating a care plan that included the use of a bariatric bed. This led to increased risk of a fall;
  • I&Os were not adequately reported on a resident exhibiting signs of dehydration;
  • The facility did not report adequate indications for certain medications which led to a resident possibly taking medication they did not require;
  • A gradual dose reduction plan was not in place for more than one resident. This led to them possibly taking medication which lacked a current indication;
  • The facility failed to ensure the appliances in the kitchen were free of dirt and grease which led to unsatisfactory food preparatory conditions;
  • An LVN was observed using inadequate hand washing techniques between glove changes. This was an indication that no infection control program was firmly in place;
Fire and Safety Inspections

This facility does have automatic sprinkler systems in all required areas. It’s most recent fire and safety inspection was on June 5, 2018, and no citations were given. The average number of safety citations in California is 1.6 and, in the U.S., it is 2.9.

Staffing

Number of Residents
The average number of residents per day at this facility is 82.7.
The California average is 85.8.
The national average is 85.7.

Number of Nurse Staff Hours Per Resident Per Day
The total number of licensed nurse staff hours per resident per day is 1 hour and 30 minutes.
The California average is 1 hour and 45 minutes.
The national average is 1 hour 33 minutes.

Number of RN Hours Per Resident Per Day
The number of RN hours per resident per day is 24 minutes.
The California average is 37 minutes.
The national average is 40 minutes.

LPN/LVN Hours Per Resident Per Day
The number of LPN/LVN hours per resident per day is 1 hour and 6 minutes.
The California average is 1 hour and 8 minutes.
The national average is 53 minutes.

Nurse Aid Hours Per Resident Per Day
The number of nurse aid hours per resident per day is 2 hours and 27 minutes.
The California average is 2 hours 33 minutes.
The national average is 2 hours 19 minutes.

Physical Therapist Staff Hours Per Resident Per Day
The number of Physical Therapist staff hours per resident per day is 7 minutes.
The California Average is 6 minutes.
The national average is 5 minutes.

1 Vital Statistics
Number of Beds: 93 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

Three Stars Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

Three Stars Average
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

Two Stars Below Average
RN Staffing Two Stars Below Average
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Four Stars Above Average
3 Key Short Stay Statistics
Description Capistrano Beach Care Center California
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.6% 6.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.7% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
100.0% 87.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99.8% 89.3%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
1.3% 1.4%
4 Key Long Stay Statistics
Description Capistrano Beach Care Center California
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
2.1% 1.8%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
0.9% 1.9%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.7% 3.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
5.8% 7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
74.2% 42.7%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.9% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0% 0.5%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
19.6% 14.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
10.5% 9.6%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
5.4% 4.5%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
0.0% 0.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
10.2% 16.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
100.0% 96.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99.6% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
12.9% 11.0%
5 Inspection Summary

Date of standard health inspection: 04/10/2018
Total number of health deficiencies: 12
Average number of health deficiencies in California: 12.6

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