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Country Villa Plaza Convalescent Center

Inspection Results


Nursing Homes California Santa Ana Country Villa Plaza Convalescent Center

Country Villa Plaza Convalescent Center has been cited for a total of 112 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Country Villa Plaza Convalescent Center.

There are 1191 nursing homes in California with a total of 65,103 deficiencies resulting in an average of 54.66 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Scope:
D
Corrected:
05-25-2018

Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Scope:
D
Corrected:
05-25-2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
03-26-2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Scope:
D
Corrected:
03-26-2018

Ensure residents maintain acceptable nutritional status.
Scope:
D
Corrected:
12-27-2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
D
Corrected:
12-27-2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
E
Corrected:
12-31-2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Scope:
D
Corrected:
12-31-2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
10-30-2017

Provide activities to meet the interests and needs of each resident.
Scope:
D
Corrected:
08-16-2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
08-16-2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope:
D
Corrected:
08-16-2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
D
Corrected:
08-16-2017

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Scope:
E
Corrected:
05-10-2017

Keep residents' personal and medical records private and confidential.
Scope:
B
Corrected:
05-10-2017

Allow residents to easily view the results of the nursing home's most recent inspection.
Scope:
B
Corrected:
05-10-2017

Keep each resident free from physical restraints, unless needed for medical treatment.
Scope:
D
Corrected:
05-10-2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
05-10-2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Scope:
D
Corrected:
05-10-2017

Provide housekeeping and maintenance services.
Scope:
B
Corrected:
05-10-2017

Maintain comfortable sound levels.
Scope:
B
Corrected:
05-10-2017

Ensure each resident receives an accurate assessment by a qualified health professional.
Scope:
D
Corrected:
05-10-2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
05-10-2017

Maintain 15 months of resident assessments in the resident's active clinical record.
Scope:
D
Corrected:
05-10-2017

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
05-10-2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Scope:
D
Corrected:
05-10-2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
05-10-2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Scope:
D
Corrected:
05-10-2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Scope:
D
Corrected:
05-10-2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Scope:
D
Corrected:
05-10-2017

Develop policies and procedures for influenza and pneumococcal immunizations.
Scope:
D
Corrected:
05-10-2017

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
Scope:
D
Corrected:
05-10-2017

Store, cook, and serve food in a safe and clean way.
Scope:
E
Corrected:
05-10-2017

Have a program that investigates, controls and keeps infection from spreading.
Scope:
D
Corrected:
05-10-2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope:
E
Corrected:
05-10-2017

Provide or obtain laboratory services only when ordered by the attending physician.
Scope:
D
Corrected:
05-10-2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
D
Corrected:
05-10-2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Scope:
D
Corrected:
11-14-2016

Reasonably accommodate the needs and preferences of each resident.
Scope:
D
Corrected:
11-14-2016

Provide care by qualified persons according to each resident's written plan of care.
Scope:
D
Corrected:
11-14-2016

Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Scope:
D
Corrected:
11-14-2016

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
11-04-2016

Provide medically-related social services to help each resident achieve the highest possible quality of life.
Scope:
D
Corrected:
10-20-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
10-20-2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
10-01-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
10-01-2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
06-27-2016

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
Scope:
B
Corrected:
06-27-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
06-27-2016

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Scope:
D
Corrected:
06-27-2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Scope:
D
Corrected:
06-27-2016

Make sure that special or therapeutic diets are ordered by the attending doctor.
Scope:
E
Corrected:
06-27-2016

Store, cook, and serve food in a safe and clean way.
Scope:
E
Corrected:
06-27-2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Scope:
D
Corrected:
06-27-2016

Have a program that investigates, controls and keeps infection from spreading.
Scope:
E
Corrected:
06-27-2016

Provide bedrooms that don't allow residents to see each other when privacy is needed.
Scope:
B
Corrected:
06-27-2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Scope:
D
Corrected:
06-27-2016

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
05-08-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
05-08-2016

Dispose of garbage and refuse properly.
Scope:
E
Corrected:
05-08-2016

Make sure that all required doctor visits are made personally.
Scope:
D
Corrected:
05-08-2016

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
03-02-2016

Protect each resident from all abuse, physical punishment, and involuntary separation from others.
Scope:
D
Corrected:
01-03-2016

Ensure each resident receives an accurate assessment by a qualified health professional.
Scope:
D
Corrected:
01-03-2016

Provide timely notification to the resident before transfer or discharge.
Scope:
B
Corrected:
05-13-2015

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
05-13-2015

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Scope:
D
Corrected:
05-13-2015

Provide housekeeping and maintenance services.
Scope:
B
Corrected:
05-13-2015

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
05-13-2015

Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.
Scope:
D
Corrected:
05-13-2015

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
05-13-2015

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Scope:
D
Corrected:
05-13-2015

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
B
Corrected:
05-13-2015

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Scope:
D
Corrected:
05-13-2015

Give or get specialized rehabilitative services per the patient's assessment or plan of care.
Scope:
D
Corrected:
05-13-2015

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Scope:
D
Corrected:
05-13-2015

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Scope:
D
Corrected:
05-13-2015

Have a program that investigates, controls and keeps infection from spreading.
Scope:
E
Corrected:
05-13-2015

Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Scope:
D
Corrected:
05-13-2015

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope:
E
Corrected:
05-13-2015

Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Scope:
D
Corrected:
05-13-2015

Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Scope:
D
Corrected:
05-13-2015

Corridor and hallway doors that block smoke.
Scope:
D
Corrected:
07-06-2016

Smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
C
Corrected:
07-06-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
D
Corrected:
07-06-2016

Emergency lighting that can last at least 1 1/2 hours.
Scope:
D
Corrected:
07-06-2016

Properly located and lighted "Exit" signs.
Scope:
C
Corrected:
07-06-2016

A written emergency evacuation plan.
Scope:
D
Corrected:
07-06-2016

Properly maintained smoke detectors.
Scope:
D
Corrected:
07-06-2016

Automatic sprinkler systems that have been maintained in working order.
Scope:
D
Corrected:
07-06-2016

Restrictions on the use of highly flammable decorations.
Scope:
D
Corrected:
07-06-2016

Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
07-06-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
D
Corrected:
05-01-2015

Automatic sprinkler systems that have been maintained in working order.
Scope:
E
Corrected:
05-01-2015

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Scope:
C
Corrected:
05-01-2015

Properly protected cooking facilities.
Scope:
D
Corrected:
05-01-2015

Properly installed electrical wiring and equipment.
Scope:
D
Corrected:
05-01-2015

Corridor and hallway doors that block smoke.
Scope:
D
Corrected:
07-06-2016

Smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
C
Corrected:
07-06-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
D
Corrected:
07-06-2016

Emergency lighting that can last at least 1 1/2 hours.
Scope:
D
Corrected:
07-06-2016

Properly located and lighted "Exit" signs.
Scope:
C
Corrected:
07-06-2016

A written emergency evacuation plan.
Scope:
D
Corrected:
07-06-2016

Properly maintained smoke detectors.
Scope:
D
Corrected:
07-06-2016

Automatic sprinkler systems that have been maintained in working order.
Scope:
D
Corrected:
07-06-2016

Restrictions on the use of highly flammable decorations.
Scope:
D
Corrected:
07-06-2016

Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
07-06-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
D
Corrected:
05-01-2015

Automatic sprinkler systems that have been maintained in working order.
Scope:
E
Corrected:
05-01-2015

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Scope:
C
Corrected:
05-01-2015

Properly protected cooking facilities.
Scope:
D
Corrected:
05-01-2015

Properly installed electrical wiring and equipment.
Scope:
D
Corrected:
05-01-2015



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Country Villa Plaza Convalescent Center


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