MARGUERITE GARDENS

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 01/12/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 09/17/2008 Correction Date: 10/20/2008
Train All Employees on What to Do in an Emergency. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Post Nurse Staffing Information. Inspection Date: 01/12/2011 Correction Date: 03/10/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/12/2011 Correction Date: 03/10/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 11/09/2009 Correction Date: 12/28/2009

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 09/17/2008 Correction Date: 10/20/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/12/2011 Correction Date: 03/10/2011

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: 09/17/2008 Correction Date: 10/20/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/17/2008 Correction Date: 10/20/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/09/2009 Correction Date: 12/28/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/17/2008 Correction Date: 10/20/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/17/2008 Correction Date: 10/20/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/12/2011 Correction Date: 03/10/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/12/2011 Correction Date: 03/10/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/12/2011 Correction Date: 03/10/2011
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 01/12/2011 Correction Date: 03/10/2011

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: 09/17/2008 Correction Date: 10/20/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/17/2008 Correction Date: 10/20/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/09/2009 Correction Date: 12/28/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/12/2011 Correction Date: 03/10/2011
Do an Assessment of the Resident Every Year. Inspection Date: 01/12/2011 Correction Date: 03/10/2011
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: 01/12/2011 Correction Date: 03/10/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/12/2011 Correction Date: 03/10/2011

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 Marguerite Gardens 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 01/10/2011.

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 09/22/2008 Correction Date: 10/23/2008
Portable Fire Extinguishers. Inspection Date: 11/12/2009 Correction Date: 12/28/2009

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 01/10/2011 Correction Date: 01/27/2011

Corridor Walls and Doors

Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 11/12/2009 Correction Date: 12/28/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/12/2009 Correction Date: 12/28/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 09/22/2008 Correction Date: 10/23/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/12/2009 Correction Date: 12/28/2009

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 11/12/2009 Correction Date: 12/28/2009
Fire-Resistant Room Wall Surfaces. Inspection Date: 01/10/2011 Correction Date: 01/27/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 11/12/2009 Correction Date: 12/28/2009
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/10/2011 Correction Date: 01/27/2011

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: 09/22/2008 Correction Date: 10/23/2008