THE ROWLAND

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". 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 The Rowland. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

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 03/04/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Hire a Qualified Social Worker; or in Homes with More Than 120 Beds, Hire a Qualified Full-Time Social Worker. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Post Nurse Staffing Information. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Hire a Qualified Social Worker; or in Homes with More Than 120 Beds, Hire a Qualified Full-Time Social Worker. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Train All Employees on What to Do in an Emergency. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Get Rid of Garbage Properly. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Keep Sound Levels Comfortable. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Keep Sound Levels Comfortable. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Have Enough Outside Airflow. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

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: 10/03/2008 Correction Date: 11/05/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
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: 01/14/2010 Correction Date: 03/08/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
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: 03/04/2011 Correction Date: 06/27/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Give Special Rehabilitation by Skilled Workers, when Ordered by a Doctor. Inspection Date: 10/03/2008 Correction Date: 11/05/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/04/2011 Correction Date: 06/27/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

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: 10/03/2008 Correction Date: 11/05/2008
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: 01/14/2010 Correction Date: 03/08/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/14/2010 Correction Date: 03/08/2010
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: 03/04/2011 Correction Date: 06/27/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/04/2011 Correction Date: 06/27/2011

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: 10/03/2008 Correction Date: 11/05/2008
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: 01/14/2010 Correction Date: 03/08/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/14/2010 Correction Date: 03/08/2010

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 The Rowland 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 02/28/2011.

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 01/12/2010 Correction Date: 03/03/2010
Properly Protected Cooking Facilities. Inspection Date: 02/28/2011 Correction Date: 06/28/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/06/2008 Correction Date: 11/12/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/28/2011 Correction Date: 06/28/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/12/2010 Correction Date: 03/03/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/12/2010 Correction Date: 03/03/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 02/28/2011 Correction Date: 06/28/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 10/06/2008 Correction Date: 11/12/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/06/2008 Correction Date: 10/21/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/12/2010 Correction Date: 03/03/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 10/06/2008 Correction Date: 10/21/2008
Fire-Resistant Room Wall Surfaces. Inspection Date: 01/12/2010 Correction Date: 03/03/2010
Fire-Resistant Room Wall Surfaces. Inspection Date: 02/28/2011 Correction Date: 06/28/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 10/06/2008 Correction Date: 11/12/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/06/2008 Correction Date: 11/12/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/12/2010 Correction Date: 03/03/2010
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 02/28/2011 Correction Date: 06/28/2011