KERN VALLEY HEALTHCARE DISTRICT (DISTINCT PART SNF)

The information listed below provides an in-depth look into the type and quality of care offered at Kern Valley Healthcare District (Distinct Part Snf). It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

KERN VALLEY HEALTHCARE DISTRICT (DISTINCT PART SNF)
6412 LAUREL AVE
LAKE ISABELLA, CA 93240
(760) 379-2681

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

81%

Number of Residents and Certified Beds

Residents: 60
Certified Beds: 74

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By Government - City
Offers Both Resident and Family Counseling Services
Located Inside of a Hospital Facility
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Bakersfield | Arvin | Ridgecrest

Rating Details For Kern Valley Healthcare District (Distinct Part Snf)

Nursing Staff -

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.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	37 Minutes	42 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	44 Minutes	32 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 18 Minutes	2 Hours and 11 Minutes
Total Licensed Nurse Hours	1 Hour and 20 Minutes	1 Hour and 14 Minutes
Total Nurse Hours	3 Hours and 38 Minutes	3 Hours and 24 Minutes

Quality of Care -

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.

This Facility

California Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	86%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	17%	11%
Percent of Long-Stay Residents Who Were Physically Restrained	-	7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	7%	8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	7%	4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	11%	8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	10%	12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	15%	10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	3%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	9%	9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	60%	58%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	7%

Health Inspection Details -

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 05/20/2010.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

Have a Detailed, Written Plan for Disasters and Emergencies.

Inspection Date: 08/15/2008
Correction Date: 10/10/2008

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/20/2010 Correction Date: 11/08/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/20/2010 Correction Date: 11/08/2010
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 05/20/2010 Correction Date: 08/26/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 05/20/2010 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: 05/07/2009 Correction Date: 07/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/07/2009 Correction Date: 07/15/2009

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: 08/15/2008 Correction Date: 10/01/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
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: 05/20/2010 Correction Date: 08/24/2010

Quality Care

Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
Give or Get Dental Care for Each Resident. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/20/2010 Correction Date: 11/08/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 05/20/2010 Correction Date: 08/26/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/20/2010 Correction Date: 11/08/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/20/2010 Correction Date: 08/26/2010

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: 08/15/2008 Correction Date: 10/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/15/2008 Correction Date: 10/01/2008
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 05/07/2009 Correction Date: 07/15/2009
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: 05/20/2010 Correction Date: 11/08/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/20/2010 Correction Date: 11/08/2010

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: 05/07/2009 Correction Date: 07/15/2009
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: 05/20/2010 Correction Date: 08/26/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/20/2010 Correction Date: 08/24/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	05/20/2010	$2,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Kern Valley Healthcare District (Distinct Part Snf), as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected