1311 East Date Street
San Bernardino, CA 92404
(909) 882-3316
Data accessed December 18, 2019.
General Information
Country Villa Hacienda Healthcare Center is a for-profit company owned by DACS Venture Holdings LLC, JAG Venture Holdings, Mountainside Operating Company, Reissman IRRV 1989 TR, Eddie Rowles, and Joel Saltzburg. A Medicare and Medicaid participant, this facility has 99 certified beds and is not located within a hospital or Continuing Care Retirement Community.
Fines and Citations
As a result of the facility’s most recent health inspection on June 28, 2019, the facility received 13 citations for various failures, including to:
- Provide nail care to a resident, resulting in the potential to cause an infection in the resident, who was immune-compromised, and to affect his self-esteem.
- Ensure three residents received care related to side rails.
- Offer water to a resident, resulting in the potential for that resident to not receive adequate hydration.
- Consistently assess a resident’s pain.
- Ensure the documentation and transcription of physician orders after a resident experienced a choking incident and the physician ordered a change in the resident’s diet texture.
- Follow the facility’s infection control and prevention program in an incident in which a Certified Nursing Assistant did not perform proper hand hygiene when leaving an isolation room and caring for two other residents.
Fire and Safety Inspections
This facility has automatic sprinkler systems in all required areas. Its most recent fire and safety inspection was on July 10, 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 90.5.
The California average is 86.4.
The national average is 85.8.
Number of Nurse Staff Hours Per Resident Per Day
The total number of licensed nurse staff hours per resident per day is 1 hour and 24 minutes.
The California average is 1 hour and 46 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 25 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 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 23 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 5 minutes.
The California Average is 6 minutes.
The national average is 5 minutes.
Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.
Shows if the nursing home participates in the Medicare, Medicaid, or both.
| Star Rating Summary | ||
| Overall Rating
|
 |
Average |
| Health Inspection
Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks |
 |
Below Average |
| Staffing
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 |
|
Below Average |
| RN Staffing | |
Below Average |
| Quality Measures
Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care |
 |
Much Above Average |
| Description | Country Villa Hacienda Healthcare Center | California Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. |
0.9% | 6.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. |
3.4% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. |
92.4% | 87.9% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. |
99.2% | 89.3% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. |
1.4% | 1.4% |
| Description | Country Villa Hacienda Healthcare Center | California Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. |
0.0% | 1.8% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. |
1.6% | 1.9% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. |
1.6% | 3.3% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. |
18.3% | 7.1% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. |
39.0% | 42.7% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. |
4.0% | 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. |
21.2% | 14.4% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. |
8.3% | 9.6% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. |
2.9% | 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. |
16.7% | 16.1% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. |
96.5% | 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. |
3.7% | 11.0% |
Date of standard health inspection:06/08/2018
Total number of health deficiencies:12
Average number of health deficiencies in California:12.6