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31741 Rancho Viejo Road
San Juan Capistrano, CA 92675
(949) 248-8855

General Information

Brookdale San Juan Capistrano is a for-profit institution owned by S-H OPCO San Juan Capistrano, LLC. This facility has 45 certified beds and is within a continuing care retirement community (CCRC).

Fines and Citations

As a result of their last health inspection on October 16, 2018, they received 20 citations for failure to:

  • Provide a breathing treatment. According to the resident, it took over 40 minutes to get the breathing treatment;
  • Develop and implement adequate care plans for several residents. Needs such as incontinence and gangrene of the foot;
  • Provide proper hospice care coordination for a resident who was admitted for hospice care;
  • Investigate a resident’s elopement risk which led to a failure to develop and implement a care plan;
  • Adequately maintain a resident’s feeding regiment. The resident was supposed to get 1700 mL of sustenance via enteral feeding, but the medication pump was set to stop at 1500 mL;
  • Assess a new resident’s central line upon admission. This led to an increased risk of infection and/or blood clot;
  • Implement a proposed remedy stemming from previous non-compliance;
  • Provide evidence that unused medication was destroyed. This means the staff must assume the medication was given to the patient;
  • Adequately provide drug dosing parameters for 3 patients. No guidance was included in the drug order to guide dosages;
  • Appropriately, store and secure the medication room key;
  • Ensure resident’s dietary needs were met. One resident received full fat milk with his coffee instead of low-fat milk. Other residents were observed not getting the food they ordered;
  • Adequately, clean and sanitize the walk-in freezer, food mixer, and broiler;
  • Wear protective equipment when handling soiled bedding;
  • Ensure a call light was functioning properly in a resident’s room;

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 December 12, 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 40.7.
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 2 hours and 10 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 34 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 36 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 37 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 15 minutes.
The California Average is 6 minutes.
The national average is 5 minutes.

1. Vital Statistics

Number of Beds: 45 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 Ratinginformation

Medicare assigns the overall star rating based on a nursing home’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 Inspectioninformation

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
Staffinginformation

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 Two Stars Below Average
Quality Measuresinformation

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 Brookdale San Juan Capistrano California Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
2.5% 6.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.9% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
97.7% 87.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
98.7% 89.3%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.8% 1.4%

4. Key Long Stay Statistics

Description Brookdale San Juan Capistrano California Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
Not Available 1.8%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
Not Available 1.9%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
Not Available 3.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
Not Available 7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
Not Available 42.7%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
Not Available 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
Not Available 0.5%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
Not Available 14.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
Not Available 9.6%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
Not Available 4.5%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
Not Available 0.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
Not Available 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.
Not Available 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
Not Available 11.0%

5. Inspection Summary

Date of standard health inspection: 10/16/2018
Total number of health deficiencies: 20
Average number of health deficiencies in California: 12.6