COMMUNITY CARE CENTER

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 05/01/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 01/29/2010 Correction Date: 04/14/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 01/29/2010 Correction Date: 04/14/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/28/2008 Correction Date: 11/28/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Keep All Essential Equipment Working Safely. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/29/2010 Correction Date: 04/14/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

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: 01/29/2010 Correction Date: 04/14/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/29/2010 Correction Date: 04/14/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

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: 01/29/2010 Correction Date: 04/14/2010
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: 01/29/2010 Correction Date: 04/14/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 10/28/2008 Correction Date: 11/28/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/28/2008 Correction Date: 11/28/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 05/01/2011 Correction Date: 06/21/2011
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 05/01/2011 Correction Date: 06/21/2011

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

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: 01/29/2010 Correction Date: 04/14/2010

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 Community Care Center 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 05/01/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 01/27/2010 Correction Date: 04/09/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/28/2008 Correction Date: 11/28/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/27/2010 Correction Date: 04/09/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/01/2011 Correction Date: 07/05/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/27/2010 Correction Date: 04/09/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/27/2010 Correction Date: 04/09/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/27/2010 Correction Date: 04/09/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/01/2011 Correction Date: 07/05/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/28/2008 Correction Date: 11/28/2008

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 05/01/2011 Correction Date: 07/05/2011
Fire-Resistant Room Wall Surfaces. Inspection Date: 05/01/2011 Correction Date: 07/05/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/01/2011 Correction Date: 07/05/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/27/2010 Correction Date: 04/09/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/27/2010 Correction Date: 04/09/2010