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.
1Vital Statistics
Number of Beds:45 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![]() |
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Much 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 |
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Much 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 | ![]() |
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 |
![]() |
Above Average |
3Key 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% |
4Key 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% |
5Inspection Summary
Date of standard health inspection:10/16/2018
Total number of health deficiencies:20
Average number of health deficiencies in California:12.6