SOUTHERN INYO HOSPITAL (DISTINCT PART SNF)

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 10/15/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 06/05/2008 Correction Date: 01/26/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 10/15/2010 Correction Date: 01/19/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Keep Temperature Levels Comfortable and Safe. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/05/2008 Correction Date: 01/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/05/2008 Correction Date: 01/26/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/04/2009 Correction Date: 10/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/04/2009 Correction Date: 10/14/2009
Keep All Essential Equipment Working Safely. Inspection Date: 09/04/2009 Correction Date: 10/14/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/04/2009 Correction Date: 10/14/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/15/2010 Correction Date: 01/19/2011
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 10/15/2010 Correction Date: 01/19/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 09/04/2009 Correction Date: 10/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2009 Correction Date: 10/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/15/2010 Correction Date: 01/19/2011

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: 06/05/2008 Correction Date: 11/18/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/05/2008 Correction Date: 11/18/2008

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/15/2010 Correction Date: 01/19/2011

Resident Assessment

Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/15/2010 Correction Date: 01/19/2011

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
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: 06/05/2008 Correction Date: 11/18/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 06/05/2008 Correction Date: 01/26/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/05/2008 Correction Date: 11/18/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 06/05/2008 Correction Date: 11/18/2008

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 Southern Inyo Hospital (Distinct Part Snf) 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 10/19/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Portable Fire Extinguishers. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Approved Construction Type or Materials. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 10/19/2010 Correction Date: 12/14/2010
Approved Construction Type or Materials. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/19/2010 Correction Date: 12/14/2010
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/19/2010 Correction Date: 12/14/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Properly Maintained Smoke Detectors. Inspection Date: 09/02/2009 Correction Date: 10/08/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 05/30/2008 Correction Date: 06/23/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/02/2009 Correction Date: 10/08/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 09/02/2009 Correction Date: 10/08/2009

Medical Gases and Anesthetizing Areas

Properly Constructed Piped-In Oxygen Systems. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Properly Constructed Piped-In Oxygen Systems. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/02/2009 Correction Date: 10/08/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/19/2010 Correction Date: 12/14/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/30/2008 Correction Date: 06/23/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 09/02/2009 Correction Date: 10/08/2009