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ManorCare Health Services - Hemet

1717 West Stetson Avenue
Hemet, CA 92545
(951) 925-9171

General Information

ManorCare Health Services - Hemet is a for-profit institution owned by Manor Care of Hemet CA LLC. This facility has 178 certified beds and is not within a hospital or continuing care retirement community (CCRC).

Fines and Citations

As a result of their last health inspection on March 16, 2018, they received 50 citations for failure to:

  • Report skin bruising and discoloration in the patient’s chart;
  • Chart the reason for a resident’s discharge. Additionally, no discharge order was found on the day of discharge;
  • Provide accurate assessments for each resident;
  • Report significant weight loss of a resident to a physician;
  • Create and implement a care plan for a new resident within 48 hours of admission;
  • Create and implement a care plan specific to resident’s needs. One resident had a history of medication and alcohol abuse, but did not have a care plan specific to those risk factors;
  • Administer medication that was prescribed by a physician;
  • Provide treatment specific to a resident’s needs. One resident was not given a prescribed consult for bone infection. One resident’s blood sugar was not monitored for insulin administration;
  • Offer range of motion therapy to patients for which it was prescribed;
  • Provide adequate supervision for a patient with a history of medication and alcohol possession which led to an unsafe environment for that patient and others;
  • Assess and develop a care plan for residents with incontinence which led to increased risk of urinary tract infection;
  • Provide an adequate dietary plan for a resident until 9 days after admission. One resident’s food tray was placed atop a PPE cart;
  • Monitor the oxygen saturation of a resident for 12 consecutive days;
  • Develop and implement a pain management plan for a resident which resulted in the resident’s inability to thrive physically and mentally;
  • Implement previously proposed remedies for past non-compliance;
  • Appropriately staff the facility based on the number and acuity of residents and failure to have at least one licensed nurse in the facility at all times;
  • Provide behavioral health services to a resident that was exhibiting signs of decreased interest and motivation;
  • Accurately provide an expiration date for combined IV medication which led to the risk of under dosing the resident;
  • Adequately assess residents for risk of bleeding when the resident is on anticoagulants. One resident was developing bruising with no reported trauma which is indicative of over-anticoagulating via medication;
  • Appropriately monitoring and reporting indications for prescribed medications which led to increased risk of administering unnecessary medications;
  • Administer anti-hypertensive medications which resulted in leg swelling;
  • Label medications with the correct expiration date. Additionally, expired medications were stored in the medication room which led to increased risk that a patient could receive expired medication;
  • Multiple discontinued medications were stored in the med cart;
  • Complete blood work in a timely manner as prescribed by the physician;
  • Comply with portion sizes when over double the size of the appropriate portion was offered on an alternate menu;
  • Adequately clean and sanitize the refrigerators, 3 of 4 ice machines, and the 3-compartment sink;
  • Date food containers to prevent serving expired food;
  • Appropriately store oxygen tubing. The staff failed to educate family members on appropriate PPE techniques when the resident was on contact precautions;
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 May 1, 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 136.5.
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 2 hours and 12 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 48 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 24 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 11 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 11 minutes.
The California Average is 6 minutes.
The national average is 5 minutes.

1 Vital Statistics
Number of Beds: 178 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

One Star Much Below 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

One Star Much Below 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

Three Stars Average
RN Staffing Three Stars 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 Manorcare Health Services-Hemet California
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.7% 6.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.0% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
95.9% 87.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99.3% 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 Manorcare Health Services-Hemet California
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
2.9% 1.8%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
3.2% 1.9%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
6.2% 3.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
11.5% 7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
60.4% 42.7%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.1% 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.
12.6% 14.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
16.9% 9.6%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
10.2% 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.
11.2% 16.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
91.6% 96.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
100.0% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
6.2% 11.0%
5 Inspection Summary

Date of standard health inspection: 03/16/2018
Total number of health deficiencies: 50
Average number of health deficiencies in California: 12.6

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