MILLER'S PROGRESSIVE CARE

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 01/06/2011.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 12/04/2008 Correction Date: 01/15/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 11/17/2009 Correction Date: 01/15/2010
Hire a Qualified Activities Director. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Post Nurse Staffing Information. Inspection Date: 01/06/2011 Correction Date: 03/23/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 12/04/2008 Correction Date: 01/15/2009
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 12/04/2008 Correction Date: 01/15/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 12/04/2008 Correction Date: 01/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 12/04/2008 Correction Date: 01/15/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 11/17/2009 Correction Date: 01/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 11/17/2009 Correction Date: 01/15/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Get Rid of Garbage Properly. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 01/06/2011 Correction Date: 03/23/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/04/2008 Correction Date: 01/15/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 12/04/2008 Correction Date: 01/15/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 11/17/2009 Correction Date: 01/15/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/17/2009 Correction Date: 01/15/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/17/2009 Correction Date: 01/15/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/06/2011 Correction Date: 03/23/2011

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: 12/04/2008 Correction Date: 01/15/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/06/2011 Correction Date: 03/23/2011
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: 01/06/2011 Correction Date: 03/23/2011

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: 01/06/2011 Correction Date: 03/23/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 01/06/2011 Correction Date: 03/23/2011

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 Miller's Progressive 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 01/12/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Portable Fire Extinguishers. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Portable Fire Extinguishers. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/12/2011 Correction Date: 02/28/2011
Portable Fire Extinguishers. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Approved Construction Type or Materials. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Properly Protected Cooking Facilities. Inspection Date: 12/09/2009 Correction Date: 01/19/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/12/2011 Correction Date: 02/28/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Exits That Are Accessible at All Times. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
Properly Maintained Smoke Detectors. Inspection Date: 12/17/2008 Correction Date: 01/05/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
Properly Maintained Smoke Detectors. Inspection Date: 12/09/2009 Correction Date: 01/19/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 12/17/2008 Correction Date: 01/05/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/12/2011 Correction Date: 02/28/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 12/17/2008 Correction Date: 01/05/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 12/17/2008 Correction Date: 01/05/2009