COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Category: Nursing Home

3533 MOTOR AVENUE
LOS ANGELES, CA 90034

Medicare, Medicaid, HMO, Private, VA

Capacity: 99 beds

CMS Rating:

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COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER Description

Country Villa Cheviot Garden Healthcare Center Details

Year Built:	1969
Year Remodeled:	1990
Current Mgmt. Since:	1989
No. of Floors:	2
Resident Capacity:	99
Facility Type:	Long-term Care, Short-term Rehab

Country Villa Cheviot Garden Healthcare Center Special

Family Included in Care Planning:	Yes
Special Diets Accommodated:	Yes
Proximity to Emergency Svcs.:	Under 8 miles
Nearby Shopping and Entertainment:	Yes

Country Villa Cheviot Garden Healthcare Center Staff

Registered Dietician on Staff:	Yes
Caregiver Training:	Dementia, Ethics, Family Communication, Grief, Pain Management, Patient Transfers, Stress Management, Transition Issues, Universal Precautions, Validation Therapy, Wound Care
Criminal Background Check:	Yes
Principal Staff Language(s):	English
Language(s) Spoken:	Farsi, Hindi, Spanish, Tagalog

Country Villa Cheviot Garden Healthcare Center Features

Facility Features:	Activities/Recreation, Beauty/Barber Shop ($), Chapel Services, Guest Meals, Outside Patio/Gardens, Private Dining Room, Separate Therapy Room, 24-hour Security, Wanderguard
Room Features:	Telephone Ready ($), Space for personal items

Country Villa Cheviot Garden Healthcare Center Costs

Shared Room:	$156-$171/day
Private Room:	$200/day
Rate Increase:	Annually; usually 5%
Reimbursement:	Medicare, Medicaid, HMO, Private, VA

CMS Inspection Results for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.

10/20/2008 Health Survey for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Administration
Deficiency	Scope	Level of Harm
Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
Pharmacy Service
Deficiency	Scope	Level of Harm
At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
Quality Care
Deficiency	Scope	Level of Harm
Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm

10/17/2008 Fire Safety Survey for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Fire Alarm Systems
Deficiency	Scope	Level of Harm
properly maintained smoke detectors.	Pattern	Minimal harm or potential for actual harm
a fire alarm system that can be heard throughout the facility.	Isolated	Minimal harm or potential for actual harm
Hazardous Area
Deficiency	Scope	Level of Harm
construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
Smoke Compartmentation and Control
Deficiency	Scope	Level of Harm
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Pattern	Minimal harm or potential for actual harm

08/08/2007 Fire Safety Survey for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Building Service Equipment
Deficiency	Scope	Level of Harm
heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Potential for minimal harm

07/25/2007 Health Survey for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Administration
Deficiency	Scope	Level of Harm
Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
Environmental
Deficiency	Scope	Level of Harm
Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
Nutrition and Dietary
Deficiency	Scope	Level of Harm
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Isolated	Minimal harm or potential for actual harm
Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
Pharmacy Service
Deficiency	Scope	Level of Harm
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
Quality Care
Deficiency	Scope	Level of Harm
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
Resident Assessment
Deficiency	Scope	Level of Harm
Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
Resident Rights
Deficiency	Scope	Level of Harm
Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm

04/05/2006 Health Survey for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Administration
Deficiency	Scope	Level of Harm
Give or get lab tests to meet the needs of residents.	Pattern	Minimal harm or potential for actual harm
Train all employees on what to do in an emergency.	Isolated	Minimal harm or potential for actual harm
Environmental
Deficiency	Scope	Level of Harm
Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
Pharmacy Service
Deficiency	Scope	Level of Harm
Properly mark drugs and other similar products.	Pattern	Potential for minimal harm
Quality Care
Deficiency	Scope	Level of Harm
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
Resident Assessment
Deficiency	Scope	Level of Harm
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.	Pattern	Potential for minimal harm
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Pattern	Potential for minimal harm
Assess the resident when the resident enters the nursing home, in a timely manner.	Pattern	Potential for minimal harm
Resident Rights
Deficiency	Scope	Level of Harm
Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm

04/04/2006 Fire Safety Survey for COUNTRY VILLA CHEVIOT GARDEN HEALTHCARE CENTER

Corridor Walls and Doors
Deficiency	Scope	Level of Harm
corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
Electrical
Deficiency	Scope	Level of Harm
properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
Exits and Egress
Deficiency	Scope	Level of Harm
exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
Miscellaneous
Deficiency	Scope	Level of Harm
fire safety features required by current fire safety codes.	Isolated	Minimal harm or potential for actual harm
Smoke Compartmentation and Control
Deficiency	Scope	Level of Harm
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Isolated	Minimal harm or potential for actual harm