WESTERN HEALTHCARE CENTER

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 "Very 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 Western Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Medium Rehabilitation Plus Extensive Services

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

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 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 02/04/2011.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/04/2011 Correction Date: 06/09/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/26/2010 Correction Date: 08/23/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Keep Sound Levels Comfortable. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/04/2011 Correction Date: 05/12/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/04/2011 Correction Date: 05/12/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 05/26/2010 Correction Date: 08/25/2010

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: 05/26/2010 Correction Date: 08/25/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
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: 02/04/2011 Correction Date: 06/09/2011
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/04/2011 Correction Date: 05/12/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/04/2011 Correction Date: 06/09/2011
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/04/2011 Correction Date: 05/12/2011

Resident Assessment

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: 05/19/2009 Correction Date: 09/25/2009
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: 05/26/2010 Correction Date: 08/25/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
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: 02/04/2011 Correction Date: 05/12/2011
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: 02/04/2011 Correction Date: 06/09/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/19/2009 Correction Date: 09/25/2009
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
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: 05/26/2010 Correction Date: 08/25/2010
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: 05/26/2010 Correction Date: 08/25/2010
Let Each Resident Choose a Personal Doctor. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Let Residents Complain Without Being Treated Differently or Badly. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
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: 05/26/2010 Correction Date: 08/25/2010
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 05/26/2010 Correction Date: 08/25/2010
Tell the Resident Completely About His or Her Health Status. Inspection Date: 02/04/2011 Correction Date: 06/09/2011
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: 02/04/2011 Correction Date: 05/12/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/04/2011 Correction Date: 05/12/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/04/2011 Correction Date: 05/12/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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 Western Healthcare Center 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 02/23/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/25/2010 Correction Date: 06/15/2010
Portable Fire Extinguishers. Inspection Date: 05/25/2010 Correction Date: 06/15/2010
Portable Fire Extinguishers. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/29/2009 Correction Date: 06/09/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 05/25/2010 Correction Date: 06/15/2010
Properly Protected Cooking Facilities. Inspection Date: 05/25/2010 Correction Date: 06/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/25/2010 Correction Date: 06/15/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/29/2009 Correction Date: 06/09/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/25/2010 Correction Date: 06/15/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/25/2010 Correction Date: 06/15/2010
Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/23/2011 Correction Date: 03/17/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/29/2009 Correction Date: 06/09/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 04/29/2009 Correction Date: 06/09/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/25/2010 Correction Date: 06/15/2010