GOLDEN LIVINGCENTER - NAPA

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 "Ultra-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 Golden Livingcenter - Napa. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

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 07/02/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 07/02/2010 Correction Date: 08/26/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Keep All Essential Equipment Working Safely. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 07/02/2010 Correction Date: 08/26/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Hire a Qualified Dietician. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/02/2010 Correction Date: 08/26/2010

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: 07/25/2008 Correction Date: 08/28/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
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: 08/28/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/26/2009 Correction Date: 09/01/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/02/2010 Correction Date: 08/26/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/26/2009 Correction Date: 09/01/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/02/2010 Correction Date: 08/26/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 07/25/2008 Correction Date: 08/28/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 07/02/2010 Correction Date: 08/26/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 07/02/2010 Correction Date: 08/26/2010

The table below lists incident reports by the nursing staff or administration for Golden Livingcenter - Napa, as well as complaints by residents or their family in the previous three years.

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 01/15/2010 Correction Date: 06/25/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 08/06/2010 Correction Date: 01/07/2011
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 08/06/2010 Correction Date: 01/07/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 05/21/2008 Correction Date: 10/22/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 01/15/2010 Correction Date: 06/25/2010

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 Golden Livingcenter - Napa 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 07/09/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/08/2009 Correction Date: 07/30/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
Portable Fire Extinguishers. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
Properly Protected Cooking Facilities. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/21/2008 Correction Date: 09/20/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/08/2009 Correction Date: 07/30/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/08/2009 Correction Date: 07/30/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
Properly Maintained Smoke Detectors. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
Properly Maintained Smoke Detectors. Inspection Date: 07/08/2009 Correction Date: 07/30/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
Properly Maintained Smoke Detectors. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 08/21/2008 Correction Date: 09/10/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/21/2008 Correction Date: 09/10/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/09/2010 Correction Date: 08/05/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/21/2008 Correction Date: 09/10/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/08/2009 Correction Date: 07/30/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/09/2010 Correction Date: 08/05/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/09/2010 Correction Date: 08/05/2010