BONNIE BRAE CONVALESCENT HOSPITAL

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 03/15/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 12/13/2009 Correction Date: 01/06/2010
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 12/13/2009 Correction Date: 01/06/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Get Rid of Garbage Properly. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Have Enough Outside Airflow. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 12/13/2009 Correction Date: 01/06/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 03/15/2011 Correction Date: 05/12/2011

Mistreatment

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: 09/08/2008 Correction Date: 12/17/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/13/2009 Correction Date: 01/06/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/15/2011 Correction Date: 05/12/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/13/2009 Correction Date: 01/06/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/15/2011 Correction Date: 05/12/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 12/13/2009 Correction Date: 01/06/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/13/2009 Correction Date: 01/06/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/15/2011 Correction Date: 05/12/2011
Give or Get Dental Care for Each Resident. Inspection Date: 03/15/2011 Correction Date: 05/12/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/08/2008 Correction Date: 02/12/2009
Do an Assessment of the Resident Every Year. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/15/2011 Correction Date: 05/12/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/08/2008 Correction Date: 12/17/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/15/2011 Correction Date: 05/12/2011

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 Bonnie Brae Convalescent Hospital 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 03/16/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/05/2008 Correction Date: 10/09/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Portable Fire Extinguishers. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Properly Protected Cooking Facilities. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Properly Constructed Linen or Trash Chutes. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/05/2008 Correction Date: 10/09/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/16/2011 Correction Date: 04/13/2011
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/05/2008 Correction Date: 10/09/2008
A Separate and Independent Backup Electrical Power Source. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Exits That Are Accessible at All Times. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/05/2008 Correction Date: 10/09/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 09/05/2008 Correction Date: 10/09/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Fire-Resistant Room Wall Surfaces. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/05/2008 Correction Date: 10/09/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/16/2011 Correction Date: 04/13/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 12/17/2009 Correction Date: 01/06/2010
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/16/2011 Correction Date: 04/13/2011