EXTENDED CARE HOSPITAL WESTMINSTER

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 01/06/2011.

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Train All Employees on What to Do in an Emergency. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Keep Sound Levels Comfortable. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Get Rid of Garbage Properly. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Keep All Essential Equipment Working Safely. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
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: 07/31/2008 Correction Date: 09/02/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
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: 09/03/2009 Correction Date: 10/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
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: 01/06/2011 Correction Date: 02/04/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/06/2011 Correction Date: 02/04/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
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: 09/03/2009 Correction Date: 10/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/03/2009 Correction Date: 10/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/06/2011 Correction Date: 02/04/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/31/2008 Correction Date: 08/29/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/31/2008 Correction Date: 09/02/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/31/2008 Correction Date: 09/02/2008

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 Extended Care Hospital Westminster 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 01/10/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 08/05/2008 Correction Date: 08/25/2008
Portable Fire Extinguishers. Inspection Date: 09/10/2009 Correction Date: 09/29/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/10/2009 Correction Date: 09/29/2009
Approved Construction Type or Materials. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/05/2008 Correction Date: 08/31/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/10/2009 Correction Date: 09/29/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/05/2008 Correction Date: 08/25/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/10/2009 Correction Date: 09/29/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/10/2009 Correction Date: 09/29/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/10/2011 Correction Date: 02/04/2011
Properly Maintained Smoke Detectors. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/05/2008 Correction Date: 08/25/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/05/2008 Correction Date: 08/25/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/10/2009 Correction Date: 09/29/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/10/2011 Correction Date: 02/04/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/05/2008 Correction Date: 08/25/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/10/2011 Correction Date: 02/04/2011