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325 Potter Street
Fallbrook, CA 92028
(760) 728-2330

General Information

Fallbrook Skilled Nursing is a for-profit institution owned by FALLBROOK HEALTHCARE CENTER OPERATING COMPANY LLC. This facility has 93 certified beds and is not in a hospital or a continuing care retirement community (CCRC).

Fines and Citations

As a result of their last health inspection on September 21, 2018, they received 4 citations for failure to:

  • Adhere to professional standards when managing a resident’s pressure ulcer. The pressure ulcer formed while the patient was in the hospital and it was not treated correctly when the resident returned;
  • Follow doctor’s orders when administering insulin to a resident. The dosing table was not correctly applied;
  • Ensure a pharmacist performed a monthly review on a residents treatment plan. It was not documented that the doctor reviewed the necessity for antianxiety medication;
  • Implement a plan to ensure that quality assurance and performance improvement activities were completed. This led to an increased risk of inappropriate medication dosages for residents.

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 November 20, 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 81.2.
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 29 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 32 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 58 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 54 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 5 minutes.
The California Average is 8 minutes.
The national average is 7 minutes.

1Vital Statistics

Number of Beds:93 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.

2Key Ratings

Star Rating Summary
Overall Ratinginformation

Medicare assigns the overall star rating based on a nursing homes’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

Five Stars Much Above 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

Five Stars Much Above 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

Four Stars Above Average
RN Staffing Three Stars 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

3Key Short Stay Statistics

Description Fallbrook Skilled Nursing California
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
5.3% 6.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.0% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
95.1% 87.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
97.2% 89.3%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.0% 1.4%

4Key Long Stay Statistics

Description Fallbrook Skilled Nursing California
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.5% 1.8%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
2.3% 1.9%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
6.4% 3.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
2.1% 7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
62.0% 42.7%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
4.1% 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.
17.1% 14.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
18.3% 9.6%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
4.4% 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.
23.8% 16.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
94.9% 96.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99.5% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
10.3% 11.0%

5Inspection Summary

Date of standard health inspection:09/21/2018
Total number of health deficiencies:4
Average number of health deficiencies in California:12.6