| Baywood Post Acute | |
| 238 Virginia Avenue, Campbell, California 95008 | |
| (408) 379-8114 | |
| Name | Baywood Post Acute |
|---|---|
| Location | 238 Virginia Avenue, Campbell, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 45 |
| Occupancy Rate | 90.67% |
| Medicare ID (CCN) | 555841 |
| Legal Business Name | Alpine Lake Holdings LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Links Healthcare Group (32 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1801615133 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Alpine Lake Holdings LLC |
| Doing Business As | Baywood Post-acute |
| Address | 238 Virginia Ave, Campbell, CA 95008 |
| Phone Number | 408-379-8114 |
| NPI Number | 1477538114 |
| Match | Possible same name, address or phone number |
| Organization Name | J & J Health Care Services Inc |
| Doing Business As | Greenhills Manor |
| Address | 238 Virginia Ave, Campbell, CA 95008 |
| Phone Number | 408-379-8114 |
| 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 | 4.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.48 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.24 | 0.86 |
| Nurse aide hours per resident per day | 2.64 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.89 | 3.42 |
| RN hours per resident per day on the weekend | 0.32 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 48.1% | 45.8% |
| Registered nurse turnover | 77.8% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 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 |
|---|---|---|---|
| Apr 4, 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, pattern | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Apr 4, 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, pattern | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | 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 Apr 26, 2025 |
| Apr 4, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Apr 4, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Waiver has been granted |
| Jan 12, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Feb 11, 2024 |
| Jan 12, 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, Standard inspection | Potential for harm, pattern | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | 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, pattern | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | 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, pattern | Corrected by Feb 11, 2024 |
| Jan 12, 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, Standard inspection | Potential for harm, pattern | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | 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, pattern | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 11, 2024 |
| Jan 12, 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, Standard inspection | Potential for harm, isolated | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | 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 Feb 11, 2024 |
| Jan 12, 2024 | 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 Feb 11, 2024 |
| Jan 12, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 11, 2024 |
| Jan 12, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Waiver has been granted |
| Dec 5, 2022 | 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, pattern | Corrected by Jan 4, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.58 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 18.52 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.92 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.82 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 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 | 5.56 | 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 | 98.82 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.91 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.67 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.93 | 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 | 96.77 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.7 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.24 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.05 | 15.38 |
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