ALAMEDA HOSPITAL SKILLED NURSING FACILITY

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 09/22/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/22/2010 Correction Date: 10/22/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 07/11/2008 Correction Date: 08/11/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Get Rid of Garbage Properly. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Keep All Essential Equipment Working Safely. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/22/2010 Correction Date: 10/22/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/22/2010 Correction Date: 10/22/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/22/2010 Correction Date: 10/22/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/11/2008 Correction Date: 08/11/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/11/2008 Correction Date: 08/11/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/22/2010 Correction Date: 10/22/2010

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: 07/11/2008 Correction Date: 08/11/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/11/2008 Correction Date: 08/11/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/11/2008 Correction Date: 08/11/2008
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: 09/22/2010 Correction Date: 10/22/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/22/2010 Correction Date: 10/22/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
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: 08/14/2009 Correction Date: 09/14/2009
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: 09/22/2010 Correction Date: 10/22/2010

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: 08/14/2009 Correction Date: 09/14/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/14/2009 Correction Date: 09/14/2009
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: 09/22/2010 Correction Date: 10/22/2010

The table below lists incident reports by the nursing staff or administration for Alameda Hospital Skilled Nursing Facility, as well as complaints by residents or their family in the previous three years.

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 06/11/2008 Correction Date: 07/11/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 06/11/2008 Correction Date: 07/11/2008

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: 06/11/2008 Correction Date: 07/11/2008

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 Alameda Hospital Skilled Nursing Facility 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 10/01/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/20/2009 Correction Date: 09/09/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 08/20/2009 Correction Date: 09/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/01/2010 Correction Date: 10/20/2010
Portable Fire Extinguishers. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/29/2008 Correction Date: 08/21/2008
Approved Construction Type or Materials. Inspection Date: 08/20/2009 Correction Date: 09/09/2009
Approved Construction Type or Materials. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/29/2008 Correction Date: 08/21/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/20/2009 Correction Date: 09/09/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/20/2009 Correction Date: 09/09/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/20/2009 Correction Date: 09/09/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 08/20/2009 Correction Date: 09/09/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/20/2009 Correction Date: 09/09/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/01/2010 Correction Date: 10/20/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 07/29/2008 Correction Date: 08/21/2008