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

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Behavioral Symptoms and Cognitive Performance

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

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 12/23/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 06/25/2010 Correction Date: 07/15/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 06/25/2010 Correction Date: 07/15/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 12/23/2010 Correction Date: 02/04/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Keep All Essential Equipment Working Safely. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/25/2010 Correction Date: 07/15/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/23/2010 Correction Date: 02/04/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/23/2010 Correction Date: 02/04/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/23/2010 Correction Date: 02/04/2011
Have Enough Outside Airflow. Inspection Date: 12/23/2010 Correction Date: 02/04/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/25/2010 Correction Date: 07/15/2010

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/25/2010 Correction Date: 07/15/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 12/23/2010 Correction Date: 02/04/2011
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 12/23/2010 Correction Date: 02/04/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/23/2010 Correction Date: 02/04/2011

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: 12/23/2010 Correction Date: 02/04/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/23/2010 Correction Date: 02/04/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 06/30/2009 Correction Date: 10/05/2009

Resident Assessment

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: 06/30/2009 Correction Date: 08/25/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 06/30/2009 Correction Date: 10/05/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/30/2009 Correction Date: 08/25/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/25/2010 Correction Date: 07/15/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 12/23/2010 Correction Date: 02/04/2011

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 Ashby 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 12/27/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/01/2009 Correction Date: 07/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/27/2010 Correction Date: 01/25/2011
Portable Fire Extinguishers. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/29/2010 Correction Date: 07/19/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 07/01/2009 Correction Date: 07/30/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 12/27/2010 Correction Date: 01/25/2011
Properly Protected Cooking Facilities. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/01/2009 Correction Date: 07/30/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/01/2009 Correction Date: 07/30/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 12/27/2010 Correction Date: 01/25/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/01/2009 Correction Date: 07/30/2009
Exits That Are Accessible at All Times. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
Exits That Are Accessible at All Times. Inspection Date: 12/27/2010 Correction Date: 01/25/2011
Rooms That Can Be Unlocked from Inside Without a Key. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
Properly Maintained Smoke Detectors. Inspection Date: 06/29/2010 Correction Date: 07/19/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 06/29/2010 Correction Date: 07/19/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 07/01/2009 Correction Date: 07/30/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 12/27/2010 Correction Date: 01/25/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 06/29/2010 Correction Date: 07/19/2010