VILLA SIENA

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 05/11/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/12/2010 Correction Date: 04/12/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/30/2009 Correction Date: 06/01/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Keep Sound Levels Comfortable. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/11/2011 Correction Date: 06/07/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/11/2011 Correction Date: 06/07/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/11/2011 Correction Date: 06/07/2011

Nutrition and Dietary

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: 04/30/2009 Correction Date: 06/01/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/30/2009 Correction Date: 06/01/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 03/12/2010 Correction Date: 04/12/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 04/30/2009 Correction Date: 06/01/2009
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: 03/12/2010 Correction Date: 04/12/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
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: 05/11/2011 Correction Date: 06/07/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/11/2011 Correction Date: 06/07/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/11/2011 Correction Date: 06/07/2011

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: 03/12/2010 Correction Date: 04/12/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/12/2010 Correction Date: 04/12/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/12/2010 Correction Date: 04/12/2010

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 Villa Siena 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 05/05/2011.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 05/05/2011 Correction Date: 05/26/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/06/2010 Correction Date: 05/03/2010

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 04/06/2010 Correction Date: 05/03/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 05/05/2011 Correction Date: 05/26/2011