GOLDEN CROSS HEALTH CARE OF FRESNO

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "Clinically Complex". 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 Golden Cross Health Care of Fresno. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

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 12/17/2010.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Keep All Essential Equipment Working Safely. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Keep Sound Levels Comfortable. Inspection Date: 12/17/2010 Correction Date: 02/01/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 12/17/2010 Correction Date: 02/01/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 12/17/2010 Correction Date: 02/01/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 12/17/2010 Correction Date: 02/01/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 12/17/2010 Correction Date: 02/01/2011
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 12/17/2010 Correction Date: 02/01/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 12/17/2010 Correction Date: 02/01/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/17/2010 Correction Date: 02/01/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
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: 12/17/2010 Correction Date: 02/01/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/17/2010 Correction Date: 02/01/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
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: 08/13/2009 Correction Date: 09/14/2009
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
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: 02/16/2010 Correction Date: 03/24/2010
Do an Assessment of the Resident Every Year. Inspection Date: 12/17/2010 Correction Date: 02/01/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/17/2010 Correction Date: 02/01/2011

Resident Rights

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: 08/13/2009 Correction Date: 09/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/13/2009 Correction Date: 09/14/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/16/2010 Correction Date: 03/24/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 12/17/2010 Correction Date: 02/01/2011

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.

The table below lists incident reports by the nursing staff or administration for Golden Cross Health Care of Fresno, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/22/2009 Correction Date: 05/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/15/2010 Correction Date: 03/03/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 04/15/2009 Correction Date: 09/14/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 04/15/2009 Correction Date: 09/14/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 09/30/2009 Correction Date: 01/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 04/22/2009 Correction Date: 05/28/2009
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 08/25/2009 Correction Date: 01/07/2010

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Complaint Filed: 05/12/2009 Correction Date: 09/14/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/15/2009 Correction Date: 09/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/22/2009 Correction Date: 05/28/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 05/07/2009 Correction Date: 08/14/2009

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 Golden Cross Health Care of Fresno 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 01/12/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/12/2011 Correction Date: 01/25/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/18/2009 Correction Date: 09/08/2009
Approved Construction Type or Materials. Inspection Date: 02/17/2010 Correction Date: 03/11/2010
Approved Construction Type or Materials. Inspection Date: 01/12/2011 Correction Date: 01/25/2011

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 02/17/2010 Correction Date: 03/11/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/18/2009 Correction Date: 09/08/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/17/2010 Correction Date: 03/11/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/12/2011 Correction Date: 01/25/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/17/2010 Correction Date: 03/11/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/12/2011 Correction Date: 01/25/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/18/2009 Correction Date: 09/08/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/17/2010 Correction Date: 03/11/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 01/12/2011 Correction Date: 01/25/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/18/2009 Correction Date: 09/08/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/18/2009 Correction Date: 09/08/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/18/2009 Correction Date: 09/08/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/17/2010 Correction Date: 03/11/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/17/2010 Correction Date: 03/11/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/12/2011 Correction Date: 01/25/2011