CRESTWOOD MANOR - 104

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

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 07/29/2010.

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/27/2009 Correction Date: 09/22/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/29/2010 Correction Date: 09/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/29/2010 Correction Date: 09/14/2010
Keep All Essential Equipment Working Safely. Inspection Date: 07/29/2010 Correction Date: 09/14/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
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: 07/27/2009 Correction Date: 09/22/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/29/2010 Correction Date: 09/14/2010

Nutrition and Dietary

Hire a Qualified Dietician. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/29/2010 Correction Date: 09/14/2010

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: 04/10/2008 Correction Date: 05/09/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
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: 07/27/2009 Correction Date: 09/22/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/29/2010 Correction Date: 09/14/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Give or Get Dental Care for Each Resident. Inspection Date: 07/27/2009 Correction Date: 09/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/29/2010 Correction Date: 09/14/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 07/29/2010 Correction Date: 09/14/2010
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 07/29/2010 Correction Date: 09/14/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/29/2010 Correction Date: 09/14/2010

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: 07/27/2009 Correction Date: 09/22/2009
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 07/27/2009 Correction Date: 09/22/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/10/2008 Correction Date: 05/09/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/29/2010 Correction Date: 09/14/2010

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 Crestwood Manor - 104 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 08/05/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/18/2008 Correction Date: 05/01/2008
Portable Fire Extinguishers. Inspection Date: 07/15/2009 Correction Date: 07/31/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/18/2008 Correction Date: 05/01/2008
Approved Construction Type or Materials. Inspection Date: 07/15/2009 Correction Date: 07/31/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/18/2008 Correction Date: 05/01/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/15/2009 Correction Date: 07/31/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/18/2008 Correction Date: 05/01/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/15/2009 Correction Date: 07/31/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/05/2010 Correction Date: 08/24/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 07/15/2009 Correction Date: 07/31/2009
Properly Maintained Smoke Detectors. Inspection Date: 07/15/2009 Correction Date: 07/31/2009
Properly Maintained Smoke Detectors. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 04/18/2008 Correction Date: 05/01/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/18/2008 Correction Date: 05/01/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/15/2009 Correction Date: 07/31/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/05/2010 Correction Date: 08/24/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/18/2008 Correction Date: 05/01/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/05/2010 Correction Date: 08/24/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/15/2009 Correction Date: 07/31/2009