RAFAEL CONVALESCENT HOSPITAL

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 "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 Rafael Convalescent Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

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 04/07/2011.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
Choose a Doctor to Be the Medical Director. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Post Nurse Staffing Information. Inspection Date: 04/07/2011 Correction Date: 06/02/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/19/2009 Correction Date: 06/22/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/19/2009 Correction Date: 06/22/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space. Inspection Date: 03/19/2010 Correction Date: 05/24/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/19/2009 Correction Date: 06/22/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
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: 03/19/2010 Correction Date: 05/24/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/19/2010 Correction Date: 07/01/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/07/2011 Correction Date: 06/02/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
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: 03/19/2010 Correction Date: 05/24/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/07/2011 Correction Date: 06/02/2011

Quality Care

Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 03/19/2009 Correction Date: 05/21/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/07/2011 Correction Date: 06/02/2011

Resident Assessment

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: 03/19/2010 Correction Date: 05/24/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 03/19/2010 Correction Date: 05/24/2010

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: 03/19/2010 Correction Date: 05/24/2010
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: 03/19/2010 Correction Date: 05/24/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/19/2010 Correction Date: 07/01/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/19/2010 Correction Date: 05/24/2010
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: 04/07/2011 Correction Date: 06/02/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/07/2011 Correction Date: 06/02/2011

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 Rafael Convalescent Hospital, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 05/14/2009 Correction Date: 02/12/2010

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 Rafael 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 04/19/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Portable Fire Extinguishers. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/19/2011 Correction Date: 05/06/2011
Portable Fire Extinguishers. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Approved Construction Type or Materials. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/01/2009 Correction Date: 04/14/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/01/2009 Correction Date: 04/14/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/26/2010 Correction Date: 04/15/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/26/2010 Correction Date: 04/15/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 03/26/2010 Correction Date: 04/15/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/19/2011 Correction Date: 05/06/2011
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/01/2009 Correction Date: 04/14/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/26/2010 Correction Date: 04/15/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/01/2009 Correction Date: 04/14/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/26/2010 Correction Date: 04/15/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/19/2011 Correction Date: 05/06/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/26/2010 Correction Date: 04/15/2010