BETHESDA HOME

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 09/09/2010.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 07/02/2008 Correction Date: 08/02/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 07/02/2008 Correction Date: 08/02/2008
Post Nurse Staffing Information. Inspection Date: 09/09/2010 Correction Date: 09/28/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/09/2010 Correction Date: 09/28/2010

Environmental

Keep All Essential Equipment Working Safely. Inspection Date: 08/27/2009 Correction Date: 09/01/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/27/2009 Correction Date: 09/01/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/09/2010 Correction Date: 09/28/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/27/2009 Correction Date: 09/01/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/27/2009 Correction Date: 09/01/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/02/2008 Correction Date: 08/02/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/09/2010 Correction Date: 09/28/2010

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: 07/02/2008 Correction Date: 08/02/2008
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. Inspection Date: 07/02/2008 Correction Date: 08/02/2008
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: 09/09/2010 Correction Date: 09/28/2010

Resident Rights

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: 09/09/2010 Correction Date: 09/28/2010

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 Bethesda Home 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 09/15/2010.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 09/03/2009 Correction Date: 09/23/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/10/2008 Correction Date: 08/05/2008
Approved Construction Type or Materials. Inspection Date: 09/03/2009 Correction Date: 09/23/2009
Approved Construction Type or Materials. Inspection Date: 09/15/2010 Correction Date: 10/06/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 07/10/2008 Correction Date: 08/05/2008
Properly Protected Cooking Facilities. Inspection Date: 07/10/2008 Correction Date: 08/05/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/15/2010 Correction Date: 10/06/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/03/2009 Correction Date: 09/23/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 09/03/2009 Correction Date: 09/23/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 07/10/2008 Correction Date: 08/05/2008

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 09/15/2010 Correction Date: 10/06/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/15/2010 Correction Date: 10/06/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/10/2008 Correction Date: 08/05/2008

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: 09/15/2010 Correction Date: 10/06/2010