Articles Posted in CANHR

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This list contains the issuance of citations to Southern California nursing facilities by the California Department of Public Health over the last six months. All the citations listed are issued for reasons related to patient care. For verification of the citation, please contact the local department office or Walton Law Firm LLP.

<font size='2'Facility Date Citation
Los Angeles County Elder Abuse
Brighton Convalescent Center 05/23/08 Class B
Heritage Manor 03/7/08 Class B
Imperial Convalescent Hosp 03/26/08 Class B
Ramona Care Center 05/23/08 Class B
Studio City Rehabilitation Center 02/21/08 Class A
Villa Oaks Convalescent 06/23/08 Class B
Windsor Convalescent Long Beach. 05/22/08 Class B
Windsor Palms Artesia 05/23/08 Class A
Orange County
Evergreen Fullerton Healthcare 04/15/08 Class B
French Park Care Center 05/20/08 Class B
Kindred Healthcare of Orange 04/29/08 Class B
New Orange Hills 04/16/08 Class B
Parkview Healthcare 04/15/08 Class AA
Riverside County
Cypress Gardens 06/10/08 Class AA
San Diego County
Edgemoor Geriatric Hosp. 06/26/08 Class A
Cypress Gardens Rehabilitation 03/20/08 Class A
Lemon Grove Care & Rehab. 07/16/08 Class B
Villa Las Palmas 07/01/08 Class B
Vista Healthcare 04/11/08 Class B
Santa Barbara Nursing Home Neglect
La Cumbre Senior Living 07/24/08 Class B & A
Country Oaks Care Center 5/20/08 Class B

Class AA: The most serious violation, AA citations are issued when a resident death has occurred in such a way that it has been directly and officially attributed to the responsibility of the facility, and carry fines of $25,000 to $100,000.

Class A: Class A citations are issued when violations present imminent danger to patients or the substantial probability of death or serious harm, and carry fines from $2,000 to $20,000.

Class B: Class B citations carry fines from $100 to $1000 and are issued for violations which have a direct or immediate relationship to health, safety, or security, but do not qualify as A or AA citations.

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Nursing home residents have clearly defined rights when it comes to being transferred or discharged from a nursing facility, and may be evicted or moved under certain circumstances. Under California law, a nursing home may discharge or transfer a resident only if:

  1. the resident’s health has improved and is no longer need of skilled nursing services;
  2. the resident’s needs can no longer be met in the nursing home;
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We are frequently asked how nursing home neglect or abuse can be prevented. There is no magic answer, but there are things one can do to lessen the odds that a loved one will be subject to physical neglect, financial abuse, or suffer the decline in health caused by poor care. The California Advocates for Nursing Home Reform have published a guide for preventing abuse in long-term care facilities. How does one increase the odds there will be no abuse or neglect?

1. Be very supportive of the transfer to a nursing home. Under most circumstances, the initial entrance to a nursing facility will engender feelings of loss or abandonment. Visit frequently to help with the adjustment.

2. Make the most of visits. Visit frequently, and at different times. Also visit during meal time. This will give you a more complete picture of care and the performance of staff.

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This list contains the issuance of citations to Southern California nursing facilities by the California Department of Public Health over the last six months. All the citations listed are issued for reasons related to patient care. For verification of the citation, please contact the local department office or Walton Law Firm LLP.

<font size='2'Facility Date Citation
Los Angeles County
Alden Terrace Convalescent Hosp. 04/09/08 Class B
Chandler Convalescent 02/13/08 Class A
Chatsworth Park Care Center 03/13/08 Class B
Country Villa Park Marino 01/28/08 Class B(3)
Country Villa Pavilion Nursing 03/19/08 Class B
Ember Health Care 01/31/08 Class AA
Gardena Convalescent Hosp. 02/05/08 Class B
Heritage Manor 03/07/08 Class B
Imperial Convalescent 03/27/08 Class B
Lancaster Health Care Center 02/13/08 Class A
Oceanview Convalescent 02/20/08 Class B
Royal Oaks Care Center 12/11/07 Class B
Sophia Lyn Convalescent 04/14/08 Class B
St. John of God Retirement 02/27/08 Class B
Studio City Rehabilitation 04/02/08 Class A
Sunnyview Care Center 04/29/08 Class B
Tarzana Health and Rehab. 02/13/08 Class A
Whittier Hills Health Care Center 01/07/08 Class B
Windsor Palms Care Center of Artesia 04/15/08 Class B
Orange County
Country Villa Plaza Convalescent 03/12/08 Class B
Fountain Care Center 03/13/08 Class B
Newport Subacute Healthcare 02/06/08 Class A
Palm Terrace Healthcare & Rehab Center 02/01/08 Class AA
Park Regency Care Center 04/11/08 Class B
San Bernardino County Elder Abuse
Cherry Valley Healthcare 02/14/08 Class B
Country Villa Rancho Mirage 02/05/08 Class A(2)
Cypress Gardens Rehabilitation 03/20/08 Class A
The Springs At The Carlotta 03/21/08 Class AA
San Diego County
Children’s Convalescent Hospital 02/21/08 Class B
Edgemoor Geriatric Hospital 05/09/08 Class B
Point Loma Convalescent Hosp. 03/10/08 Class B
Ventura County
Brighton Gardens of Camirillo. 4/16/08. Class B

Class AA: The most serious violation, AA citations are issued when a resident death has occurred in such a way that it has been directly and officially attributed to the responsibility of the facility, and carry fines of $25,000 to $100,000.

Class A: Class A citations are issued when violations present imminent danger to patients or the substantial probability of death or serious harm, and carry fines from $2,000 to $20,000.

Class B: Class B citations carry fines from $100 to $1000 and are issued for violations which have a direct or immediate relationship to health, safety, or security, but do not qualify as A or AA citations.

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Yesterday the Bush Administration announced that it will create a nursing home rating system by the end of the year. The criteria for ratings has not yet been established, but will likely be a combination of state and federal inspection reports, staffing reports, and resident and family satisfaction surveys. The ratings would be placed on a government website.

“The fact a home has a lower rating will likely put them on the path to improvement,” said Kerry Weems, acting administrator for the Centers for Medicare and Medicaid Services. “I don’t think we’re going to see many people who are very anxious to put a loved one in a one-star home.”

Those looking for information about California nursing homes already have a few options when looking at prospective homes. The California Advocates for Nursing Home Reform have a nursing home guide resource, and the California Healthcare Foundation has its own rating system. Both use the government surveys and staffing reports as a basis for the rankings, so the accuracy of the ratings is based primarily on the government’s information, which can be notoriously unreliable.

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The California Advocates for Nursing Home Reform has issued its 2007 Nursing Home Citation Report. CANHR has prepared a citation summary, including the name of the nursing facility, the date, the level of citation, and a brief summary of the facts that led up to the citation. There is also an instructional key to help readers understand how the individual nursing home citations summaries are displayed. The report, which is broken down by California counties, can be found here. (.pdf)

In summary, a total of 651 citations were issued against nursing homes in California by the Department of Public Health in the year 2007, 22 of which were Class AA citations (violations caused a death), and 122 were Class A (violations present imminent danger and a substantial probability of death).

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Since a significant part of my law practice involves cases of abused and neglected seniors in nursing home, I get asked frequently if I can recommend a good nursing home, or at least point out the bad ones. That is, of course, impossible because of the sheer number of nursing homes in California and the simple fact that every nursing facility, even ones with generally good reputations, have the potential for neglectful care.

When I am asked to recommend a home I typically refer people to the Nursing Home Guide. A web resource published by the California Advocates for Nursing Home Reform (CANHR) that provides detailed information about every licensed nursing home in the State of California, including information about prior complaints, citations, ownership, and the services provided. At the site you will also find a nursing home evaluation checklist, which provides a list of things to think about when looking for a nursing facility.

In addition, CANHR also now has a Residential Care Facility Guide which provides information about all licensed residential facilities in the state. The information there is limited, simply because public information about those facilities is not as available.

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This list contains the issuance of citations to Southern California nursing facilities by the California Department of Public Health over the last six months. All the citations listed are issued for reasons related to patient care. For verification of the citation, please contact the local department office or Walton Law Firm LLP.

<font size='2'Facility Date Citation
Los Angeles Nursing Homes
Ayer-Lar Health Care Center 09/21/07 Class B
Bellflower Convalescent 01/29/08 Class B
Brierwood Terrace Convalescent 12/28/07 Class B
Calif. Healthcare and Rehabilitation 11/14/07 Class B
Casitas Care Center 12/19/07 Class B
Chandler Convalescent 10/3/07 Class B
Country Villa Los Feliz 11/29/07 Class B
Country Villa Wilshire 01/4/08 Class A
North Walk Villa Convalescent 12/10/07 Class A
Orange County Nursing Homes
Coastal Community Hospital 10/11/07 Class A
San Bernardino Nursing Homes
Citrus Nursing Center 10/11/07 Class AA
Ontario Health Center 03/19/07 Class A
Sky Harbor Care Center 10/24/07 Class AA
San Diego Nursing Homes
La Mesa Healthcare Center 02/06/08 Class B
Lemon Grove Care and Rehabilitation 01/10/08 Class B
Life Care Center Escondido 01/24/08 Class B
Palomar Continuing Care 11/15/07 Class A
Palomar Heights Care Center 01/31/08 Class AA
Pleasant Care Convalescent 10/19/07 Class B
Villa Las Palmas Healthcare 12/14/07 Class B
Vista Knoll Specialized Care 12/4/07 Class B
Ventura Nursing Homes
Maywood Acres Healthcare 11/5/2007 Class A
Victoria Care Center 11/20/07 Class A

Class AA: The most serious violation, AA citations are issued when a resident death has occurred in such a way that it has been directly and officially attributed to the responsibility of the facility, and carry fines of $25,000 to $100,000.

Class A: Class A citations are issued when violations present imminent danger to patients or the substantial probability of death or serious harm, and carry fines from $2,000 to $20,000.

Class B: Class B citations carry fines from $100 to $1000 and are issued for violations which have a direct or immediate relationship to health, safety, or security, but do not qualify as A or AA citations.

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The quality of care provided by California nursing homes has declined by almost every measure since the implementation of a new Medi-Cal rate system that increased funding the nursing facilities according to a new study by the University of California, San Francisco (UCSF). Meanwhile, nursing home complaints and the issuance of deficiencies have grown dramatically since the rate hike.

Critics contend that the nursing home industry crafted the rate hike on the basis that it was necessary to improve care. And while staffing levels improved under the new law, nursing home staff turnovers increased. The study reveals that 144 nursing homes in California failed to meet state minimum staffing requirements (.pdf).

According to the California Advocates for Nursing Home Reform:

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Budget cuts proposed by Governor Schwarzenegger could cripple California’s oversight of Residential Care Facilities for the Elderly. Further damage to the already struggling oversight program could put thousands of RCFE residents at risk.

According the California Advocates for Nursing Home Reform (CANHR), the proposed cuts come at a time when assisted living care is growing at a rapid rate. There are more than 7,000 assisted living facilities in the state, an increase of more than 25% over the last decade. Current law requires an inspection of RCFEs only once every five years, a dramatic decline from the 1980s when such facilities were subject to inspections twice a year.

Inspecting RCFEs once every five years or less is a recipe for neglect and abuse,” said Patricia McGinnis, CANHR’s executive director. “Care standards and residents’ rights become virtually meaningless when inspections are so rare. Issuing a license under these conditions deceives consumers who assume the state is conducting regular inspections or offering oversight and protection to residents.

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