ROYAL TERRACE HEALTH 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 "Very 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 Royal Terrace Health Care. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

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 12/18/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/29/2008 Correction Date: 09/19/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 08/29/2008 Correction Date: 09/19/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 12/18/2010 Correction Date: 01/14/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/15/2009 Correction Date: 10/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/15/2009 Correction Date: 10/27/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 12/18/2010 Correction Date: 01/14/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 12/18/2010 Correction Date: 01/14/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/15/2009 Correction Date: 10/27/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/29/2008 Correction Date: 09/19/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/15/2009 Correction Date: 10/27/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 12/18/2010 Correction Date: 01/14/2011
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 12/18/2010 Correction Date: 01/14/2011

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: 08/29/2008 Correction Date: 09/19/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/15/2009 Correction Date: 10/27/2009
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: 12/18/2010 Correction Date: 01/14/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 12/18/2010 Correction Date: 01/14/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/29/2008 Correction Date: 09/19/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 09/15/2009 Correction Date: 10/27/2009

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: 12/18/2010 Correction Date: 01/14/2011

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 Royal Terrace Health 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 12/18/2010.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/18/2010 Correction Date: 01/03/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 12/18/2010 Correction Date: 01/03/2011