A GRACE SUB ACUTE & SKILLED CARE

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 Plus 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 A Grace Sub Acute & Skilled Care. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

Extensive Services

Special Care Low

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 01/19/2011.

Administration

Hire a Qualified Social Worker; or in Homes with More Than 120 Beds, Hire a Qualified Full-Time Social Worker. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Keep Temperature Levels Comfortable and Safe. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Keep Sound Levels Comfortable. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Get Rid of Garbage Properly. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Keep Sound Levels Comfortable. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Get Rid of Garbage Properly. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Keep All Essential Equipment Working Safely. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Hire a Qualified Dietician. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Pharmacy Service

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: 01/13/2009 Correction Date: 02/10/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/19/2011 Correction Date: 03/16/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/19/2011 Correction Date: 03/25/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
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: 02/02/2010 Correction Date: 03/08/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
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: 02/02/2010 Correction Date: 03/08/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/19/2011 Correction Date: 03/16/2011

Resident Rights

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: 01/13/2009 Correction Date: 02/10/2009
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: 01/13/2009 Correction Date: 02/10/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/13/2009 Correction Date: 02/10/2009
Tell the Resident Completely About His or Her Health Status. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
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: 02/02/2010 Correction Date: 03/08/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Have a Private Telephone Available for Use. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/02/2010 Correction Date: 03/08/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/19/2011 Correction Date: 03/25/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for A Grace Sub Acute & Skilled Care, as well as complaints by residents or their family in the previous three years.

Environmental

Keep Temperature Levels Comfortable and Safe. Complaint Filed: 06/01/2010 Correction Date: 06/23/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Complaint Filed: 06/15/2010 Correction Date: 07/14/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 07/29/2008 Correction Date: 09/09/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 01/13/2009 Correction Date: 01/01/1900
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. Complaint Filed: 01/19/2011 Correction Date: 03/16/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 07/29/2008 Correction Date: 09/09/2008
Hire a Qualified Dietician. Complaint Filed: 05/06/2010 Correction Date: 06/02/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 05/16/2008 Correction Date: 01/01/1900

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 10/20/2009 Correction Date: 11/04/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 02/02/2010 Correction Date: 03/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 06/15/2010 Correction Date: 07/14/2010

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: 01/13/2009 Correction Date: 01/01/1900
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: 12/28/2009 Correction Date: 01/11/2010
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: 05/26/2010 Correction Date: 06/24/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Complaint Filed: 05/21/2008 Correction Date: 06/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 01/13/2009 Correction Date: 01/01/1900
Let the Appropriate People See and Talk to Each Resident. Complaint Filed: 01/13/2009 Correction Date: 01/01/1900
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. Complaint Filed: 05/19/2009 Correction Date: 01/01/1900
Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 04/30/2010 Correction Date: 05/19/2010
Tell the Resident Completely About His or Her Health Status. Complaint Filed: 05/12/2010 Correction Date: 06/08/2010

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 A Grace Sub Acute & Skilled Care 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 01/13/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 02/03/2010 Correction Date: 02/24/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Approved Construction Type or Materials. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 02/03/2010 Correction Date: 02/24/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/13/2011 Correction Date: 02/03/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Properly Maintained Smoke Detectors. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/13/2011 Correction Date: 02/03/2011
Properly Maintained Smoke Detectors. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 02/03/2010 Correction Date: 02/24/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/03/2010 Correction Date: 02/24/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/27/2009 Correction Date: 03/09/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/03/2010 Correction Date: 02/24/2010
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/13/2011 Correction Date: 02/03/2011

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: 01/27/2009 Correction Date: 03/09/2009