DOCTORS HOSPITAL OF WEST COVINA

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

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 01/14/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/14/2011 Correction Date: 04/27/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 01/15/2009 Correction Date: 02/11/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/14/2011 Correction Date: 03/29/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/15/2009 Correction Date: 02/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/14/2011 Correction Date: 03/29/2011

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: 01/25/2010 Correction Date: 04/12/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
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: 01/14/2011 Correction Date: 03/29/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/15/2009 Correction Date: 02/11/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/15/2009 Correction Date: 02/11/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/14/2011 Correction Date: 04/27/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/14/2011 Correction Date: 03/29/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/14/2011 Correction Date: 03/29/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/14/2011 Correction Date: 04/27/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/14/2011 Correction Date: 04/27/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/14/2011 Correction Date: 03/29/2011

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 01/15/2009 Correction Date: 02/11/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 01/25/2010 Correction Date: 04/12/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/25/2010 Correction Date: 04/12/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 01/14/2011 Correction Date: 03/29/2011

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.

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 Doctors Hospital of West Covina 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 01/31/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/13/2009 Correction Date: 02/10/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 01/13/2009 Correction Date: 02/10/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/27/2010 Correction Date: 04/12/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 01/27/2010 Correction Date: 04/12/2010
Fire-Resistant Room Wall Surfaces. Inspection Date: 01/27/2010 Correction Date: 04/12/2010

Laboratories

Proper Procedures for Handling Laboratory Emergencies. Inspection Date: 01/13/2009 Correction Date: 02/10/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/31/2011 Correction Date: 02/28/2011