WISTERIA CARE CENTER

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 04/29/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 02/28/2008 Correction Date: 03/12/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/29/2010 Correction Date: 05/29/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/28/2008 Correction Date: 03/12/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/29/2010 Correction Date: 05/29/2010

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 04/29/2010 Correction Date: 05/29/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/29/2010 Correction Date: 05/29/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/28/2008 Correction Date: 03/12/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/28/2008 Correction Date: 03/12/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/08/2009 Correction Date: 05/08/2009

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 02/28/2008 Correction Date: 03/12/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 02/28/2008 Correction Date: 03/12/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/29/2010 Correction Date: 05/29/2010

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: 04/08/2009 Correction Date: 05/08/2009

Resident Rights

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: 04/08/2009 Correction Date: 05/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/29/2010 Correction Date: 05/29/2010

The table below lists incident reports by the nursing staff or administration for Wisteria Care Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 07/07/2008 Correction Date: 08/13/2008

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: 07/07/2008 Correction Date: 08/13/2008

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 Wisteria Care 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 05/05/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 04/13/2009 Correction Date: 05/06/2009
Portable Fire Extinguishers. Inspection Date: 05/05/2010 Correction Date: 05/28/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/13/2009 Correction Date: 05/06/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/13/2009 Correction Date: 05/06/2009
Properly Protected Cooking Facilities. Inspection Date: 05/05/2010 Correction Date: 05/28/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/05/2010 Correction Date: 05/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/05/2010 Correction Date: 05/28/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/04/2008 Correction Date: 03/27/2008
Properly Maintained Smoke Detectors. Inspection Date: 03/04/2008 Correction Date: 03/27/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/13/2009 Correction Date: 05/06/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/05/2010 Correction Date: 05/28/2010
Properly Maintained Smoke Detectors. Inspection Date: 05/05/2010 Correction Date: 05/28/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/05/2010 Correction Date: 05/28/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/04/2008 Correction Date: 03/27/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/05/2010 Correction Date: 05/28/2010