SIERRA VISTA

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 06/04/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 02/27/2008 Correction Date: 08/18/2008
Follow All Laws and Professional Standards. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
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: 02/27/2008 Correction Date: 05/01/2008
Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 02/27/2008 Correction Date: 07/21/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 02/27/2008 Correction Date: 08/18/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 02/27/2008 Correction Date: 07/21/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/20/2009 Correction Date: 04/30/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 03/20/2009 Correction Date: 04/30/2009
Give or Get X-Rays or Tests Only when the Resident's Doctor Ordered Them. Inspection Date: 03/20/2009 Correction Date: 04/30/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/20/2009 Correction Date: 04/30/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 06/04/2010 Correction Date: 07/02/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 06/04/2010 Correction Date: 07/02/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 06/04/2010 Correction Date: 07/02/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/27/2008 Correction Date: 08/18/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/27/2008 Correction Date: 07/21/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/27/2008 Correction Date: 07/21/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/20/2009 Correction Date: 04/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/20/2009 Correction Date: 04/30/2009

Nutrition and Dietary

Hire a Qualified Dietician. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/27/2008 Correction Date: 07/21/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/20/2009 Correction Date: 04/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/04/2010 Correction Date: 07/02/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/27/2008 Correction Date: 07/21/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/27/2008 Correction Date: 08/18/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 06/04/2010 Correction Date: 07/02/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/04/2010 Correction Date: 07/02/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/04/2010 Correction Date: 07/02/2010

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: 02/27/2008 Correction Date: 05/01/2008
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: 03/20/2009 Correction Date: 04/30/2009
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: 03/20/2009 Correction Date: 04/30/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 06/04/2010 Correction Date: 07/02/2010
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: 06/04/2010 Correction Date: 07/02/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/04/2010 Correction Date: 07/02/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/27/2008 Correction Date: 05/01/2008
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: 03/20/2009 Correction Date: 04/30/2009

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 Sierra Vista 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 06/16/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Portable Fire Extinguishers. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Portable Fire Extinguishers. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Approved Construction Type or Materials. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Approved Construction Type or Materials. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Properly Protected Cooking Facilities. Inspection Date: 03/18/2009 Correction Date: 05/20/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/16/2010 Correction Date: 07/02/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Properly Maintained Smoke Detectors. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Properly Maintained Smoke Detectors. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/06/2008 Correction Date: 03/03/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/16/2010 Correction Date: 07/02/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/06/2008 Correction Date: 03/03/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 03/18/2009 Correction Date: 05/20/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 06/16/2010 Correction Date: 07/02/2010