SONOMA DEVELOPMENTAL 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 08/06/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Choose a Doctor to Be the Medical Director. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 08/06/2010 Correction Date: 09/08/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 08/06/2010 Correction Date: 09/08/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Keep All Essential Equipment Working Safely. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Have Enough Outside Airflow. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Keep All Essential Equipment Working Safely. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/06/2010 Correction Date: 09/08/2010
Keep All Essential Equipment Working Safely. Inspection Date: 08/06/2010 Correction Date: 09/08/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/06/2010 Correction Date: 09/08/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/01/2008 Correction Date: 09/18/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/01/2008 Correction Date: 09/18/2008

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/06/2010 Correction Date: 09/08/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/06/2010 Correction Date: 09/08/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/23/2009 Correction Date: 08/27/2009

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/01/2008 Correction Date: 09/18/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/01/2008 Correction Date: 09/18/2008

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/09/2009 Correction Date: 02/25/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/14/2009 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Complaint Filed: 10/14/2009 Correction Date: 01/01/1900

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Complaint Filed: 10/22/2009 Correction Date: 01/01/1900

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 10/14/2009 Correction Date: 01/01/1900
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 10/14/2009 Correction Date: 01/01/1900

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 10/14/2009 Correction Date: 01/01/1900

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 Sonoma Developmental 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 08/12/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Portable Fire Extinguishers. Inspection Date: 08/07/2009 Correction Date: 09/02/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Approved Construction Type or Materials. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Approved Construction Type or Materials. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/12/2010 Correction Date: 09/21/2010
Properly Protected Cooking Facilities. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/12/2010 Correction Date: 09/21/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Exits That Are Accessible at All Times. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Exits That Are Accessible at All Times. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Properly Maintained Smoke Detectors. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Properly Maintained Smoke Detectors. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Properly Maintained Smoke Detectors. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/12/2010 Correction Date: 09/21/2010
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 08/07/2009 Correction Date: 09/02/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 08/12/2010 Correction Date: 09/21/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/07/2009 Correction Date: 09/02/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 08/29/2008 Correction Date: 09/18/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/12/2010 Correction Date: 09/21/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/12/2010 Correction Date: 09/21/2010

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: 08/29/2008 Correction Date: 09/18/2008
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 08/07/2009 Correction Date: 09/02/2009
Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 08/12/2010 Correction Date: 09/21/2010