A

Mountains Community Hosp DP/SNF

29101 Hospital Road, Lake Arrowhead, CA 92352
Score: 93 / 100

Among nursing homes in California, Mountains Community Hosp Dp/Snf stands out with an A grade and a score of 93 out of 100. It ranks in the 94th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Mountains Community Hosp Dp/Snf provides above-average staffing with 6.79 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 10 deficiencies at Mountains Community Hosp Dp/Snf. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.79 3.8 Above Average
Registered Nurses (RN) 1.50 0.7 Above Average
Licensed Practical Nurses (LPN) 1.61 0.7 Above Average
Certified Nursing Assistants (CNA) 3.68 2.4 Above Average
Weekend Total Nursing 6.44 3.8 Above Average
Weekend RN Hours 1.28 0.7 Above Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Jun 4, 2025
Most Recent Inspection
🟠 10 Moderate
View recent deficiencies (5 shown)
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Jun 4, 2025 · Infection Control Deficiencies
  • Tag 0637 Severity D
    Assess the resident when there is a significant change in condition
    Jun 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Jun 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Jun 4, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.2% 4.5% Better
Falls with major injury 4.1% 3.0% Worse
On antipsychotic medication 9.0% 14.5% Better
Urinary tract infections 4.1% 2.5% Worse
ADL decline (daily activities) 18.5% 14.0% Worse
Excessive weight loss 2.8% 7.5% Better
New/worsened incontinence 17.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 93 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
19
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 4, 2025
Deficiencies (Cycle 1)
5