SENECA DISTRICT HOSPITAL

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 05/13/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 04/22/2010 Correction Date: 05/25/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 05/13/2011 Correction Date: 06/22/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/08/2009 Correction Date: 04/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/22/2010 Correction Date: 05/25/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/22/2010 Correction Date: 05/25/2010
Keep Sound Levels Comfortable. Inspection Date: 05/13/2011 Correction Date: 06/22/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 05/13/2011 Correction Date: 06/22/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/08/2009 Correction Date: 04/30/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 05/13/2011 Correction Date: 06/22/2011

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: 04/08/2009 Correction Date: 04/30/2009
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: 05/13/2011 Correction Date: 06/22/2011

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/08/2009 Correction Date: 04/30/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 05/13/2011 Correction Date: 06/07/2011

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: 04/08/2009 Correction Date: 04/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/08/2009 Correction Date: 04/30/2009
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: 04/22/2010 Correction Date: 05/25/2010
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: 05/13/2011 Correction Date: 06/22/2011

Resident Rights

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: 04/22/2010 Correction Date: 05/25/2010

The table below lists incident reports by the nursing staff or administration for Seneca District Hospital, 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: 07/22/2008 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 Seneca District Hospital 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 06/02/2011.

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/11/2010 Correction Date: 06/07/2010
Restrictions on the Use of Portable Space Heaters. Inspection Date: 05/11/2010 Correction Date: 06/07/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/11/2010 Correction Date: 06/07/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/04/2009 Correction Date: 05/27/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 06/02/2011 Correction Date: 06/13/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/02/2011 Correction Date: 06/13/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/11/2010 Correction Date: 06/07/2010