| Mountains Community Hosp Dp/snf | |
| 29101 Hospital Road, Lake Arrowhead, California 92352 | |
| (909) 336-3651 | |
| Name | Mountains Community Hosp Dp/snf |
|---|---|
| Location | 29101 Hospital Road, Lake Arrowhead, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 19 |
| Occupancy Rate | 90.53% |
| Medicare ID (CCN) | 555467 |
| Legal Business Name | San Bernardino Mountains Community Hospital District |
| Ownership Type | Government - Hospital District |
| NPI Number | 1174674246 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | San Bernardino Mountains Community Hospital District |
| Doing Business As | Mountains Community Hospital |
| Address | 29101 Hospital Rd, Lake Arrowhead, CA 92352 |
| Phone Number | 909-336-3651 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 7.12 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.22 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.96 | 0.86 |
| Nurse aide hours per resident per day | 3.93 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 6.38 | 3.42 |
| RN hours per resident per day on the weekend | 1.03 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 37.5% | 45.8% |
| Registered nurse turnover | 16.7% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 5, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 5, 2025 |
| Jun 5, 2025 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2025 |
| Jun 5, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2025 |
| Jun 5, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2025 |
| Jun 5, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2025 |
| Apr 20, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 19, 2023 |
| Apr 20, 2023 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 19, 2023 |
| Apr 20, 2023 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2023 |
| Apr 20, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2023 |
| Apr 20, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 19, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.29 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.63 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.94 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.33 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.37 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 69.86 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Not Available | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.1 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.61 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.98 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.84 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.25 | 15.38 |