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11895 Avenue of Industry
San Diego, CA 92128
(858) 673-0101

Data accessed December 11, 2019.

General Information

Carmel Mountain Rehabilitation & Healthcare Center is a for-profit corporation owned by Flagstone Healthcare South Inc. A Medicare and Medicaid participant, this facility has 120 certified beds and is located within a Continuing Care Retirement Community.

Fines and Citations

As a result of the facility’s most recent health inspection on March 21, 2019, the facility received 4 citations for various failures, including to:

  • Set residents’ air mattresses in accordance with manufacturer guidelines, resulting in the risk of residents developing pressure ulcers.
  • Ensure there was a system that provided for the cleaning of certain medical devices for three residents, resulting in the potential for a heightened risk of those residents experiencing respiratory
  • Maintain infection control protocols in an instance in which a nurse did not “clean and disinfect a shared resident glucometer” for one resident.

Fire and Safety Inspections

This facility has automatic sprinkler systems in all required areas. Its most recent fire and safety inspection was on April 30, 2019, and 0 fire safety citations were issued. The average number of safety citations in California is 1.6; in the U.S., 3.0.

Staffing

Number of Residents
The average number of residents per day at this facility is 109.6.
The California average is 86.4.
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 3 hours and 12 minutes.
The California average is 1 hour and 47 minutes.
The national average is 1 hour 34 minutes.

Number of RN Hours Per Resident Per Day
The number of RN hours per resident per day is 1 hour and 13 minutes.
The California average is 38 minutes.
The national average is 41 minutes.

LPN/LVN Hours Per Resident Per Day
The number of LPN/LVN hours per resident per day is 1 hour and 59 minutes.
The California average is 1 hour and 9 minutes.
The national average is 52 minutes.

Nurse Aide Hours Per Resident Per Day
The number of nurse aid hours per resident per day is 2 hours and 31 minutes.
The California average is 2 hours 33 minutes.
The national average is 2 hours 18 minutes.

Physical Therapist Staff Hours Per Resident Per Day
The number of Physical Therapist staff hours per resident per day is 10 minutes.
The California Average is 6 minutes.
The national average is 5 minutes.

1. Vital Statistics

Number of Beds:  120 certified bedsinformation
Accepts:  Medicare and Medicaidinformation

2. Key Ratings

Star Rating Summary
Overall Rating information Five Stars Much Above Average
Health Inspection information Four Stars Above Average
Staffing information Three Stars Average
RN Staffing Two Stars Below Average
Quality Measures information Five Stars Much Above Average

3. Key Short Stay Statistics

Description Carmel Mountain Rehabilitation & Healthcare Center California Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.8% 6.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.8% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
98.3% 87.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
100.0% 89.3%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.5% 1.4%

4. Key Long Stay Statistics

Description Carmel Mountain Rehabilitation & Healthcare Center California Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.4% 1.8%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
3.1% 1.9%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.0% 3.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
3.5% 7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
20.9% 42.7%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.0% 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.
11.8% 14.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
2.4% 9.6%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
4.9% 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.
18.1% 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.
98.5% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
3.3% 11.0%

5. Inspection Summary

Date of standard health inspection:  04/06/2018
Total number of health deficiencies:  9
Average number of health deficiencies in California:  12.6