PRESIDIO HEALTH CARE CENTER

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 Presidio Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Low Rehabilitation

Special Care High

Clinically Complex

Reduced Physical Function

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 03/18/2011.

Administration

Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Post Nurse Staffing Information. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Follow All Laws and Professional Standards. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 03/18/2011 Correction Date: 04/18/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/18/2011 Correction Date: 04/18/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/18/2011 Correction Date: 04/18/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/18/2011 Correction Date: 04/18/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/05/2010 Correction Date: 04/09/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/18/2011 Correction Date: 04/18/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
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: 03/05/2010 Correction Date: 04/09/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
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: 03/18/2011 Correction Date: 04/18/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/18/2011 Correction Date: 04/18/2011
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/18/2011 Correction Date: 04/18/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/18/2011 Correction Date: 04/18/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
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: 02/11/2009 Correction Date: 03/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 03/18/2011 Correction Date: 04/18/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 02/11/2009 Correction Date: 03/10/2009
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: 03/05/2010 Correction Date: 04/09/2010
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: 03/05/2010 Correction Date: 04/09/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/05/2010 Correction Date: 04/09/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/18/2011 Correction Date: 04/18/2011
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 03/18/2011 Correction Date: 04/18/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/18/2011 Correction Date: 04/18/2011

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 Presidio Health Care Center 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 03/24/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/10/2009 Correction Date: 03/25/2009
Portable Fire Extinguishers. Inspection Date: 03/10/2009 Correction Date: 03/25/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/10/2010 Correction Date: 04/23/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/24/2011 Correction Date: 04/18/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/24/2011 Correction Date: 04/18/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/10/2009 Correction Date: 03/25/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/24/2011 Correction Date: 04/18/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/24/2011 Correction Date: 04/18/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/10/2010 Correction Date: 04/23/2010
An Automatic Smoke Detection System in All Hallways. Inspection Date: 03/10/2010 Correction Date: 04/23/2010
Properly Maintained Smoke Detectors. Inspection Date: 03/24/2011 Correction Date: 04/18/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/10/2010 Correction Date: 04/23/2010
Restrictions on the Use of Flammable Curtains. Inspection Date: 03/10/2010 Correction Date: 04/23/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/24/2011 Correction Date: 04/18/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/24/2011 Correction Date: 04/18/2011