SOPHIA-LYN CONVALESCENT HOSPITAL

The information below lists services this facility has provided for residents from October through November 2010. During this period, the most common type of service provided was "Very 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 Sophia-Lyn Convalescent Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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

Short-Term Stay Preventive Actions

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 06/21/2010.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 06/21/2010 Correction Date: 07/19/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 06/21/2010 Correction Date: 07/19/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/21/2010 Correction Date: 07/19/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 12/17/2007 Correction Date: 01/22/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/20/2009 Correction Date: 04/16/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/20/2009 Correction Date: 04/16/2009
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: 06/21/2010 Correction Date: 07/19/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 06/21/2010 Correction Date: 07/19/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/21/2010 Correction Date: 07/19/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/20/2009 Correction Date: 04/16/2009

Resident Assessment

Get Doctor Orders for the Resident's Immediate Care when Admitted. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/17/2007 Correction Date: 01/22/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 03/20/2009 Correction Date: 04/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/20/2009 Correction Date: 04/16/2009
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: 06/21/2010 Correction Date: 07/19/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/21/2010 Correction Date: 07/19/2010
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required. Inspection Date: 06/21/2010 Correction Date: 07/19/2010

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: 12/17/2007 Correction Date: 01/22/2008

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 Sophia-Lyn Convalescent 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 06/16/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/19/2007 Correction Date: 01/09/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 12/19/2007 Correction Date: 01/09/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 12/19/2007 Correction Date: 01/09/2008

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 12/19/2007 Correction Date: 01/09/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 12/19/2007 Correction Date: 01/09/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 06/16/2010 Correction Date: 07/06/2010