CRESTHAVEN NURSING HOME

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

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 10/14/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Post Nurse Staffing Information. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Keep All Essential Equipment Working Safely. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Hire a Qualified Dietician. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
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: 10/14/2010 Correction Date: 11/29/2010

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 09/03/2008 Correction Date: 10/03/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
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: 10/14/2010 Correction Date: 11/29/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

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: 09/03/2008 Correction Date: 10/03/2008
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 10/19/2009 Correction Date: 12/07/2009
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: 10/19/2009 Correction Date: 12/07/2009
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 10/14/2010 Correction Date: 11/29/2010
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: 10/14/2010 Correction Date: 11/29/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/14/2010 Correction Date: 11/29/2010

The table below lists incident reports by the nursing staff or administration for Cresthaven Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Post Nurse Staffing Information. Complaint Filed: 07/21/2010 Correction Date: 01/01/1900

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 12/22/2009 Correction Date: 03/17/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 05/15/2008 Correction Date: 01/01/1900

Quality Care

Give or Get Emergency Care by a Doctor 24 Hours a Day. Complaint Filed: 10/19/2009 Correction Date: 12/07/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 10/19/2009 Correction Date: 12/07/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Complaint Filed: 04/05/2011 Correction Date: 01/01/1900

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 Cresthaven Nursing Home 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 11/05/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/16/2008 Correction Date: 10/09/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Portable Fire Extinguishers. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Portable Fire Extinguishers. Inspection Date: 11/05/2010 Correction Date: 12/03/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Approved Construction Type or Materials. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/16/2008 Correction Date: 10/09/2008
Properly Protected Cooking Facilities. Inspection Date: 10/20/2009 Correction Date: 12/09/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 11/05/2010 Correction Date: 12/03/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key. Inspection Date: 09/16/2008 Correction Date: 10/09/2008
Exits That Are Accessible at All Times. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 09/16/2008 Correction Date: 10/09/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
Properly Maintained Smoke Detectors. Inspection Date: 10/20/2009 Correction Date: 12/09/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/16/2008 Correction Date: 10/09/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/20/2009 Correction Date: 12/09/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 11/05/2010 Correction Date: 12/03/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/20/2009 Correction Date: 12/09/2009