SONORA REGIONAL MEDICAL CENTER (DISTINCT PART SNF)

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/03/2011.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 08/15/2008 Correction Date: 09/04/2008

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/15/2008 Correction Date: 09/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/29/2009 Correction Date: 11/16/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/29/2009 Correction Date: 11/16/2009
Keep All Essential Equipment Working Safely. Inspection Date: 10/29/2009 Correction Date: 11/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/03/2011 Correction Date: 02/18/2011

Nutrition and Dietary

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. Inspection Date: 08/15/2008 Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/15/2008 Correction Date: 09/04/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/29/2009 Correction Date: 11/16/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/03/2011 Correction Date: 02/18/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/03/2011 Correction Date: 02/18/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 10/29/2009 Correction Date: 11/16/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/29/2009 Correction Date: 11/16/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/15/2008 Correction Date: 09/04/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/29/2009 Correction Date: 11/16/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/29/2009 Correction Date: 11/16/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 08/15/2008 Correction Date: 09/04/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 08/15/2008 Correction Date: 09/04/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 02/03/2011 Correction Date: 02/18/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 02/03/2011 Correction Date: 02/18/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/03/2011 Correction Date: 02/18/2011

The table below lists incident reports by the nursing staff or administration for Sonora Regional Medical Center (Distinct Part Snf), as well as complaints by residents or their family in the previous three years.

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Complaint Filed: 08/15/2008 Correction Date: 09/04/2008

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Sonora Regional Medical Center (Distinct Part Snf) had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/16/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/28/2008 Correction Date: 09/12/2008
Portable Fire Extinguishers. Inspection Date: 08/28/2008 Correction Date: 09/12/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/04/2009 Correction Date: 11/16/2009
Portable Fire Extinguishers. Inspection Date: 11/04/2009 Correction Date: 11/16/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 11/04/2009 Correction Date: 11/16/2009

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/28/2008 Correction Date: 09/12/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/04/2009 Correction Date: 11/16/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 11/04/2009 Correction Date: 11/16/2009
Properly Maintained Smoke Detectors. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 11/04/2009 Correction Date: 11/16/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/28/2008 Correction Date: 09/12/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/04/2009 Correction Date: 11/16/2009
Properly Constructed Piped-In Oxygen Systems. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/16/2011 Correction Date: 03/15/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/28/2008 Correction Date: 09/12/2008

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 02/16/2011 Correction Date: 03/15/2011