247 East Bobier Drive
Vista, CA 92084
(760) 945-3033
General Information
Astor Healthcare Center is a for-profit institution owned by Vista Post Acute Center LLC. This facility has 187 beds and is not in a hospital of a continuing care retirement community (CCRC).
Fines and Citations
As a result of their last health inspection on December 21, 2017, they received 19 citations for failure to:
- Provide food indicative of a dignified existence of the residents;
- Update the resident’s assessments at least once every three months;
- Ensure accuracy of resident’s assessments;
- Develop and implement a care plan specific to the needs of some residents;
- Use the prescribed communication method for a nonverbal patient.
- Provide adequate pressure ulcer treatment and preventative care.
- Provide appropriate monitoring for a patient designated as a fall risk.
- Complete urinary catheter care which increased the risk of the formation of infection.
- Remove access to the Automated Dispensing Cabinet from former employees.
- Ensure that a licensed pharmacist reviews the drug regimen of each resident monthly.
- Be certain that each resident’s drug regimen is free from unnecessary drugs.
- Ensure that all drugs are labeled properly.
- Employ a sufficient amount of skilled food and nutrition services staff.
- Ensure menus offered enough options to meet the nutritional needs of all residents.
- Provide food that is palatable and safe. In addition, the food was not served at the appropriate temperature.
- Appropriately, acquire and store food in accordance with professional standards.
- Keep all essential equipment working safely.
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 January 10, 2018, and no citations were given. The average number of safety citations in California is 1.8 and, in the U.S., it is 2.9.
Staffing
Number of Residents
The average number of residents per day at this facility is 173.7.
The California average is 86.4.
The national average is 86.0.
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 28 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 35 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 53 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 1 hour and 49 minutes.
The California average is 2 hours 34 minutes.
The national average is 2 hours 20 minutes.
Physical Therapist Staff Hours Per Resident Per Day
The number of Physical Therapist staff hours per resident per day is 3 minutes.
The California Average is 8 minutes.
The national average is 7 minutes.
1Vital Statistics
Number of Beds:187 certified beds
Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.
Accepts:Medicare and Medicaid
Shows if the nursing home participates in the Medicare, Medicaid, or both.
2Key Ratings
| Star Rating Summary | ||
| Overall Rating
|
 |
Below 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 |
 |
Average |
| RN Staffing |  |
Above 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 |
|
Above Average |
3Key Short Stay Statistics
| Description | Astor Healthcare Center | California Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. |
10.9% | 6.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. |
2.7% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. |
73.9% | 87.9% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. |
77.6% | 89.3% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. |
2.4% | 1.4% |
4Key Long Stay Statistics
| Description | Astor Healthcare Center | California Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. |
1.7% | 1.8% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. |
3.9% | 1.9% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. |
7.4% | 3.3% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. |
9.0% | 7.1% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. |
25.8% | 42.7% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. |
0.7% | 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. |
25.0% | 14.4% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. |
14.9% | 9.6% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. |
3.1% | 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. |
19.2% | 16.1% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. |
91.6% | 96.6% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. |
92.9% | 96.9% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. |
17.1% | 11.0% |
5Inspection Summary
Date of standard health inspection:02/07/2019
Total number of health deficiencies:13
Average number of health deficiencies in California:12.6