VETERANS HOME OF CALIFORNIA - BARSTOW

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 05/25/2011.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 04/29/2010 Correction Date: 05/26/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/29/2010 Correction Date: 05/26/2010
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 05/25/2011 Correction Date: 06/29/2011

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/25/2011 Correction Date: 06/29/2011

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/07/2009 Correction Date: 06/10/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/25/2011 Correction Date: 06/29/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/25/2011 Correction Date: 06/29/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/25/2011 Correction Date: 06/29/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/29/2010 Correction Date: 05/26/2010

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: 04/29/2010 Correction Date: 05/26/2010
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: 05/25/2011 Correction Date: 06/29/2011
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: 05/25/2011 Correction Date: 06/29/2011

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/07/2009 Correction Date: 06/10/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/29/2010 Correction Date: 05/26/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/29/2010 Correction Date: 05/26/2010

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 Veterans Home of California - Barstow 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 06/03/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/13/2009 Correction Date: 06/22/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 06/03/2011 Correction Date: 06/23/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/13/2009 Correction Date: 06/22/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/13/2009 Correction Date: 06/22/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/03/2011 Correction Date: 06/23/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/13/2009 Correction Date: 06/22/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/13/2009 Correction Date: 06/22/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/13/2009 Correction Date: 06/22/2009
Properly Constructed Piped-In Oxygen Systems. Inspection Date: 05/13/2009 Correction Date: 06/22/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/13/2009 Correction Date: 06/22/2009