PROVIDENCE LITTLE COMP OF MARY SUBACUTE CARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Extensive Services". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Providence Little Comp of Mary Subacute Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Extensive Services

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

Short-Term Stay Preventive Actions

Short-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 04/26/2011.

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/26/2011 Correction Date: 06/29/2011

Environmental

Get Rid of Garbage Properly. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Keep Sound Levels Comfortable. Inspection Date: 04/26/2011 Correction Date: 06/29/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/26/2011 Correction Date: 06/29/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/22/2010 Correction Date: 05/27/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/26/2011 Correction Date: 06/29/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/27/2009 Correction Date: 04/23/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/27/2009 Correction Date: 04/23/2009
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: 03/27/2009 Correction Date: 04/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
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: 03/22/2010 Correction Date: 05/27/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/26/2011 Correction Date: 06/29/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/26/2011 Correction Date: 06/29/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/26/2011 Correction Date: 06/29/2011

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: 04/26/2011 Correction Date: 06/29/2011
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 04/26/2011 Correction Date: 06/29/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 03/27/2009 Correction Date: 04/23/2009
Tell the Resident Completely About His or Her Health Status. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/22/2010 Correction Date: 05/27/2010
Tell the Resident Completely About His or Her Health Status. Inspection Date: 04/26/2011 Correction Date: 06/29/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/26/2011 Correction Date: 06/29/2011

The table below lists incident reports by the nursing staff or administration for Providence Little Comp of Mary Subacute Care Center, as well as complaints by residents or their family in the previous three years.

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. Complaint Filed: 02/23/2009 Correction Date: 03/11/2009

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 Providence Little Comp of Mary Subacute Care Center 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 05/09/2011.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 03/27/2009 Correction Date: 04/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/31/2010 Correction Date: 06/01/2010
Portable Fire Extinguishers. Inspection Date: 05/09/2011 Correction Date: 06/28/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/09/2011 Correction Date: 06/28/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/31/2010 Correction Date: 06/01/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/09/2011 Correction Date: 06/28/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/09/2011 Correction Date: 06/28/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/27/2009 Correction Date: 04/23/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/27/2009 Correction Date: 04/23/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 03/27/2009 Correction Date: 04/23/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/31/2010 Correction Date: 06/01/2010