SURPRISE VALLEY

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 05/06/2010.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 07/03/2008 Correction Date: 08/12/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/06/2010 Correction Date: 07/13/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/06/2010 Correction Date: 07/13/2010

Environmental

Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 07/03/2008 Correction Date: 08/12/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Get Rid of Garbage Properly. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/06/2010 Correction Date: 07/13/2010
Keep All Essential Equipment Working Safely. Inspection Date: 05/06/2010 Correction Date: 07/13/2010

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/03/2008 Correction Date: 08/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/03/2008 Correction Date: 08/12/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 05/06/2010 Correction Date: 07/13/2010
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/06/2010 Correction Date: 07/13/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/06/2010 Correction Date: 07/13/2010

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: 07/03/2008 Correction Date: 08/12/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/03/2008 Correction Date: 08/12/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/01/2009 Correction Date: 06/02/2009

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/03/2008 Correction Date: 08/12/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/01/2009 Correction Date: 06/02/2009

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/06/2010 Correction Date: 07/13/2010

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: 07/03/2008 Correction Date: 08/12/2008
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: 05/01/2009 Correction Date: 06/02/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Have a Private Telephone Available for Use. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/01/2009 Correction Date: 06/02/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/01/2009 Correction Date: 06/02/2009

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 Surprise Valley 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 06/03/2010.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 07/08/2008 Correction Date: 08/14/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/28/2009 Correction Date: 06/15/2009
Restrictions on the Use of Portable Space Heaters. Inspection Date: 05/28/2009 Correction Date: 06/15/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/08/2008 Correction Date: 08/14/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/28/2009 Correction Date: 06/15/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/03/2010 Correction Date: 07/19/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/28/2009 Correction Date: 06/15/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/28/2009 Correction Date: 06/15/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 06/03/2010 Correction Date: 07/19/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 07/08/2008 Correction Date: 08/14/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/28/2009 Correction Date: 06/15/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/28/2009 Correction Date: 06/15/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 06/03/2010 Correction Date: 07/19/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 06/03/2010 Correction Date: 07/19/2010