| Anaheim Point | |
| 3415 W Ball Road, Anaheim, California 92804 | |
| (714) 826-8950 | |
| Name | Anaheim Point |
|---|---|
| Location | 3415 W Ball Road, Anaheim, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 154 |
| Occupancy Rate | 91.75% |
| Medicare ID (CCN) | 555688 |
| Legal Business Name | Anaheim Point Healthcare & Wellness Centre LP |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Corporate Interface Services (40 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1609473453 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Anaheim Point Healthcare & Wellness Centre LP |
| Doing Business As | The Abby Pavilion Healthcare Center of Anaheim |
| Address | 3415 W Ball Rd, Anaheim, CA 92804 |
| Phone Number | 714-826-8950 |
| NPI Number | 1275618142 |
| Match | Possible same name, address or phone number |
| Organization Name | Windsor Anaheim Healthcare, Ltd |
| Doing Business As | Windsor Gardens Convalescent Center of Anaheim |
| Address | 3415 W Ball Rd, Anaheim, CA 92804 |
| Phone Number | 714-826-8950 |
| NPI Number | 1407255151 |
| Match | Possible same name, address or phone number |
| Organization Name | Anaheim Point Healthcare & Wellness Centre, LP |
| Doing Business As | The Abby Pavilion Healthcare Center of Anaheim |
| Address | 3415 W Ball Rd, Anaheim, CA 92804 |
| Phone Number | 714-826-8950 |
| 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 | 3.87 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.67 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.84 | 0.86 |
| Nurse aide hours per resident per day | 2.36 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.51 | 3.42 |
| RN hours per resident per day on the weekend | 0.49 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: the staffing data did not meet CMS's criteria for this measure | 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 |
|---|---|---|---|
| Mar 6, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 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 Apr 5, 2025 |
| Mar 6, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | 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, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection, Complaint inspection | Minimal harm potential, pattern | Corrected by Apr 5, 2025 |
| Mar 6, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 5, 2025 |
| Nov 6, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Minimal harm potential, pattern | Corrected by Dec 6, 2024 |
| Nov 6, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Complaint inspection | Minimal harm potential, pattern | Corrected by Dec 6, 2024 |
| Nov 6, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Minimal harm potential, pattern | Corrected by Dec 6, 2024 |
| Oct 17, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Minimal harm potential, pattern | Corrected by Nov 16, 2024 |
| Aug 6, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Aug 6, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 5, 2024 |
| Aug 6, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Minimal harm potential, pattern | Corrected by Sep 5, 2024 |
| Jun 20, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 22, 2024 |
| Mar 14, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 14, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.87 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.5 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.19 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.64 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.09 | 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 | 2.43 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.25 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.51 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.17 | 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 | 94.92 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.45 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.48 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.57 | 15.38 |
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