PARADISE SKILLED NURSING

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 "Ultra-High Rehabilitation". 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 Paradise Skilled Nursing. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Reduced Physical Function

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 07/14/2010.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 09/05/2008 Correction Date: 09/26/2008

Environmental

Keep Sound Levels Comfortable. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Keep Sound Levels Comfortable. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Have Enough Outside Airflow. Inspection Date: 07/31/2009 Correction Date: 08/24/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/31/2009 Correction Date: 08/24/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
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: 07/31/2009 Correction Date: 08/24/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/14/2010 Correction Date: 08/12/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/31/2009 Correction Date: 08/24/2009

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: 07/31/2009 Correction Date: 08/24/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/31/2009 Correction Date: 08/24/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/05/2008 Correction Date: 09/26/2008
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 07/31/2009 Correction Date: 08/24/2009
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: 07/31/2009 Correction Date: 08/24/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/31/2009 Correction Date: 08/24/2009

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 Paradise Skilled Nursing 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 07/27/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 08/04/2009 Correction Date: 08/26/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/10/2008 Correction Date: 09/30/2008

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 09/10/2008 Correction Date: 09/30/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/10/2008 Correction Date: 09/30/2008
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 09/10/2008 Correction Date: 09/30/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/04/2009 Correction Date: 08/26/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/27/2010 Correction Date: 08/18/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/10/2008 Correction Date: 09/30/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/04/2009 Correction Date: 08/26/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/27/2010 Correction Date: 08/18/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/27/2010 Correction Date: 08/18/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/27/2010 Correction Date: 08/18/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/10/2008 Correction Date: 09/30/2008
Exits That Are Accessible at All Times. Inspection Date: 08/04/2009 Correction Date: 08/26/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 08/04/2009 Correction Date: 08/26/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/10/2008 Correction Date: 09/30/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 08/04/2009 Correction Date: 08/26/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/27/2010 Correction Date: 08/18/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/27/2010 Correction Date: 08/18/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/10/2008 Correction Date: 09/30/2008