ST. ANDREWS HEALTHCARE

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 St. Andrews Healthcare. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium 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 01/18/2011.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 01/18/2011 Correction Date: 02/10/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/27/2009 Correction Date: 11/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/27/2009 Correction Date: 11/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 01/18/2011 Correction Date: 02/10/2011
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 01/18/2011 Correction Date: 02/10/2011

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/27/2009 Correction Date: 11/17/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/27/2009 Correction Date: 11/17/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/18/2011 Correction Date: 02/10/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/27/2009 Correction Date: 11/17/2009

Resident Assessment

Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 09/27/2009 Correction Date: 11/17/2009

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: 07/25/2008 Correction Date: 09/15/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/25/2008 Correction Date: 09/15/2008
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: 09/27/2009 Correction Date: 11/17/2009
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: 01/18/2011 Correction Date: 02/10/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/18/2011 Correction Date: 02/10/2011

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 St. Andrews Healthcare 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 01/19/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/15/2009 Correction Date: 11/02/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/19/2011 Correction Date: 02/14/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/26/2008 Correction Date: 09/23/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/15/2009 Correction Date: 11/02/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/26/2008 Correction Date: 09/23/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/26/2008 Correction Date: 09/23/2008
Exits That Are Accessible at All Times. Inspection Date: 10/15/2009 Correction Date: 11/02/2009
Exits That Are Accessible at All Times. Inspection Date: 01/19/2011 Correction Date: 02/14/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/26/2008 Correction Date: 09/23/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/15/2009 Correction Date: 11/02/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/15/2009 Correction Date: 11/02/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/26/2008 Correction Date: 09/23/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/15/2009 Correction Date: 11/02/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/15/2009 Correction Date: 11/02/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 10/15/2009 Correction Date: 11/02/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/19/2011 Correction Date: 02/14/2011