JEROLD PHELPS COMMUNITY HOSPITAL SKILLED NURSING FACILITY

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.

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 01/13/2011.

Administration

Hire a Qualified Activities Director. Inspection Date: 01/13/2011 Correction Date: 03/14/2011
Post Nurse Staffing Information. Inspection Date: 01/13/2011 Correction Date: 03/14/2011
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 01/13/2011 Correction Date: 03/14/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/13/2011 Correction Date: 03/14/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/13/2011 Correction Date: 03/14/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/13/2011 Correction Date: 03/14/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/05/2008 Correction Date: 12/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/06/2010 Correction Date: 02/08/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/05/2008 Correction Date: 12/17/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/13/2011 Correction Date: 03/14/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/05/2008 Correction Date: 12/17/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/13/2011 Correction Date: 03/14/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/13/2011 Correction Date: 03/14/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/13/2011 Correction Date: 03/14/2011

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: 11/05/2008 Correction Date: 12/17/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/05/2008 Correction Date: 12/17/2008
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: 01/13/2011 Correction Date: 03/14/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 01/13/2011 Correction Date: 03/14/2011

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 Jerold Phelps Community Hospital Skilled Nursing Facility 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 01/26/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/18/2008 Correction Date: 12/10/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Portable Fire Extinguishers. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Approved Construction Type or Materials. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 11/18/2008 Correction Date: 12/10/2008
Properly Protected Cooking Facilities. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 01/26/2011 Correction Date: 02/22/2011
Restrictions on the Use of Portable Space Heaters. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/18/2008 Correction Date: 12/10/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 11/18/2008 Correction Date: 12/10/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/14/2010 Correction Date: 03/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/26/2011 Correction Date: 02/22/2011
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 01/26/2011 Correction Date: 02/22/2011

Medical Gases and Anesthetizing Areas

Properly Constructed Piped-In Oxygen Systems. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
A Properly Installed Master Alarm Panel. Inspection Date: 01/14/2010 Correction Date: 03/01/2010
Proper Medical Gas Storage and Administration Areas. Inspection Date: 01/26/2011 Correction Date: 02/22/2011