PACIFICA NURSING AND REHAB CENTER

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 06/10/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/19/2008 Correction Date: 09/30/2008

Environmental

Keep Sound Levels Comfortable. Inspection Date: 07/14/2009 Correction Date: 08/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/14/2009 Correction Date: 08/06/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/14/2009 Correction Date: 08/06/2009
Keep All Essential Equipment Working Safely. Inspection Date: 06/10/2010 Correction Date: 07/14/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/14/2009 Correction Date: 08/06/2009

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: 08/19/2008 Correction Date: 09/30/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
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: 07/14/2009 Correction Date: 08/06/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/14/2009 Correction Date: 08/06/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 06/10/2010 Correction Date: 07/14/2010

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: 08/19/2008 Correction Date: 09/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/19/2008 Correction Date: 09/30/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/14/2009 Correction Date: 08/06/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/10/2010 Correction Date: 07/14/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 08/19/2008 Correction Date: 09/19/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/14/2009 Correction Date: 08/06/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/14/2009 Correction Date: 08/06/2009

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 Pacifica Nursing and Rehab 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 07/02/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/02/2010 Correction Date: 07/22/2010
Portable Fire Extinguishers. Inspection Date: 07/02/2010 Correction Date: 07/22/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/03/2008 Correction Date: 09/30/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/02/2010 Correction Date: 07/22/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/03/2008 Correction Date: 09/30/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/23/2009 Correction Date: 08/10/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/02/2010 Correction Date: 07/22/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/03/2008 Correction Date: 09/30/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/02/2010 Correction Date: 07/22/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/23/2009 Correction Date: 08/10/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/02/2010 Correction Date: 07/22/2010