IMPERIAL CREST HEALTH CARE

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 "Ultra-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 Imperial Crest Health Care. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

Reduced Physical Function

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 04/18/2010.

Administration

Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/21/2009 Correction Date: 02/20/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Have a Program to Keep Infection from Spreading. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/18/2010 Correction Date: 07/14/2010
Keep All Essential Equipment Working Safely. Inspection Date: 04/18/2010 Correction Date: 07/14/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/18/2010 Correction Date: 07/14/2010

Nutrition and Dietary

Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Make Sure That Residents Are Well Nourished. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
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: 01/21/2009 Correction Date: 02/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 04/18/2010 Correction Date: 07/14/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/18/2010 Correction Date: 07/14/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 01/21/2009 Correction Date: 02/20/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/18/2010 Correction Date: 07/14/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/18/2010 Correction Date: 07/14/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/18/2010 Correction Date: 07/14/2010

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: 10/09/2007 Correction Date: 12/06/2007
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: 10/09/2007 Correction Date: 12/06/2007
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: 01/21/2009 Correction Date: 02/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/21/2009 Correction Date: 02/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/18/2010 Correction Date: 07/14/2010

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: 10/09/2007 Correction Date: 12/06/2007
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/09/2007 Correction Date: 12/06/2007
Tell the Resident Completely About His or Her Health Status. Inspection Date: 04/18/2010 Correction Date: 07/14/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/18/2010 Correction Date: 07/14/2010

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

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. Complaint Filed: 01/21/2009 Correction Date: 02/20/2009

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 Imperial Crest Health Care 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 04/21/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/16/2009 Correction Date: 02/13/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/16/2009 Correction Date: 02/13/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/16/2009 Correction Date: 02/13/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/21/2010 Correction Date: 05/07/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 04/21/2010 Correction Date: 05/07/2010