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California Gardens Nursing and Rehab Center
California Gardens Nursing and Rehab Center has 297 certified beds. California Gardens Nursing and Rehab Center is located in the Gage Park neighborhood of Chicago’s southwest side. The facility participates in Medicare and Medicaid. Its ownership is a for-profit corporation. California Gardens Nursing and Rehab Center is not in a continuing care retirement community. The overall rating of California Gardens Nursing and Rehab Center is much below average.
The Illinois Department of Health and Human Services inspects Illinois nursing homes every 18 months. In January 2016, the Department of Health and Human Services inspected California Gardens Nursing and Rehab Center. Based on observation, interview and record review, the facility failed to administer pain medications as ordered by the physician for one resident experiencing pain. The facility also failed to follow the facility’s skin assessment policy and assess, identify and obtain treatment for its residents.
In one instance, a resident complained of back pain and stated that she only had one pill and that her tailbone hurt. At the time while the resident was receiving incontinent care and turned onto her left side, the resident was groaning and with a grimace that was noticeable by the interviewer. The resident was turned onto to her back where it was noted that she had tears and was crying. A licensed practical nurse stated that he gave this resident pain medication that morning and that he couldn’t give her anything right then because the medication was ordered every 6 hours.
On January 20, 2016, the Director of Nursing stated that she spoke with the pharmacy and there was no medication delivery for the resident as there was no record of the pharmacy ever delivering the medicine to California Gardens Nursing and Rehab Center for this resident. It was stated that because the medication was a controlled medication, a script from an ordering physician cannot be sent as it must be an original signed by the physician. The pharmacist reported that the nursing home personnel are not allowed to take narcotics or controlled medications from the emergency box without the pharmacy first receiving a script from the physician.
Based on observation, interview and record review, the facility failed to provide incontinent care for over 2 hours for 2 of 3 residents reviewed for incontinence care. A resident was observed in bed on a flat sheet and an incontinent pad wearing a hospital gown with a single flat sheet to cover her. While talking with the resident it was noted that there was a yellow stain on the sheet near her legs. The Certified Nursing Assistant entered the resident’s room and stated that she was the assigned CNA and that she had not made it to this room yet. The CNA stated that her shift started at 7:00 am. The CNA turned the resident over onto her side and noted linens under her were wet with urine from the mid-back down to her ankles.
Based on observation, interview and record review, California Gardens Nursing and Rehab Center failed to follow the emergency drug box policy and label, store and document a controlled narcotic medication removed from the emergency box for one resident.
With respect to the staffing grade for California Gardens Nursing and Rehab Center, it was found to be much below average. The total number of licensed nurse staff hours per resident per day was just one hour and one minute. That compared unfavorably with the Illinois and national averages. The registered nurse hours per resident per day at California Gardens Nursing and Rehab Center was just 22 minutes. That was much lower than the 56 minutes for the Illinois average and the 51 minutes which is the national average. California Gardens Nursing and Rehab Center also scored poorly in the number of hours per resident per day for CNAs. California Gardens Nursing and Rehab Center showed that it provided CNA hours per resident per day at the rate of 1 hour and 11 minutes. Illinois’ average CNA hours per resident per day is 2 hours and 15 minutes and the national average is 2 hours and 28 minutes.
With respect to physical therapy staff hours per resident per day at California Gardens Nursing and Rehab Center, it shows just 1 minute provided to its residents. That is well below the Illinois and national average which are 6 minutes per resident per day for physical therapy.
As to quality measures, California Gardens Nursing and Rehab Center scores above average. There is no report of any pressure ulcers for short-stay residents that were new or worsened at California Gardens Nursing and Rehab Center. However, just 40.7% of short-stay residents at California Gardens Nursing and Rehab Center were given the appropriate seasonal influenza vaccine. That compares poorly to the Illinois average of 75.6% and the national average of 80.3%.
With respect to California Gardens Nursing and Rehab Center’s long-stay high-risk residents with pressure ulcers, just 10.1% were reported as having pressure ulcers. That percentage is higher than the Illinois and national averages. 14.8% of California Gardens Nursing and Rehab Center’s long-stay residents whose ability to move independently worsened was actually lower than the Illinois and national averages for this category. It was reported that 14% of California Gardens Nursing and Rehab Center’s long-stay residents whose need with help with daily activities has increased was slightly lower than the Illinois and national averages. With respect to the percentage of residents at California Gardens Nursing and Rehab Center who received the appropriate pneumococcal vaccine, California Gardens Nursing and Rehab Center was rated at 79.5% of its residents. That was considerably lower than the Illinois average of 91.9% of its long-stay residents receiving the appropriate pneumonia vaccine and 93.3% which is the national average.
California Gardens Nursing and Rehab Center has not received any state or federal fines in the last 3 years.
1Vital Statistics
Number of Beds:297 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 |  | 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 | | 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 | | Much Below Average |
| RN Staffing | | Much 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 | California Gardens N & Rehab C | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 3.7% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | Not Available% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 34.4% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 35.1% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 4.3% | 2.1% |
4Key Long Stay Statistics
| Description | California Gardens N & Rehab C | Illinois Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 0.9% | 3.3% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 0.5% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 1.9% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 13.3% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 22.2% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 1.2% | 2.4% |
| Percent of long-stay residents who were physically restrained Lower percentages are better. | 0.4% | 0.3% |
| Percentage of long-stay residents whose ability to move independently worsened Lower percentages are better. | 8.1% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 11.3% | 13.8% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 1.8% | 6.3% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 68.0% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 10.9% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 87.6% | 92.9% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 76.9% | 89.7% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. | 28.2% | 18.8% |
5Inspection Summary
Date of standard health inspection:09/13/2018
Total number of health deficiencies:26
Average number of health deficiencies in Illinois:10.6
