LANDMARK MEDICAL 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 03/19/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 01/02/2009 Correction Date: 01/28/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 10/25/2007 Correction Date: 12/17/2007
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 10/25/2007 Correction Date: 12/17/2007

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 10/25/2007 Correction Date: 12/17/2007
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/25/2007 Correction Date: 12/17/2007

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: 01/02/2009 Correction Date: 01/28/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 01/02/2009 Correction Date: 01/28/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/02/2009 Correction Date: 01/28/2009
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: 03/19/2010 Correction Date: 04/30/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/25/2007 Correction Date: 12/17/2007
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 01/02/2009 Correction Date: 01/28/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/02/2009 Correction Date: 01/28/2009

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: 10/25/2007 Correction Date: 12/17/2007

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

Administration

Train All Employees on What to Do in an Emergency. Complaint Filed: 11/07/2008 Correction Date: 01/07/2009

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 Landmark Medical 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 03/22/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 11/01/2007 Correction Date: 12/06/2007
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/22/2010 Correction Date: 04/30/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/22/2010 Correction Date: 04/30/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/22/2010 Correction Date: 04/30/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/01/2007 Correction Date: 12/06/2007

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 11/01/2007 Correction Date: 12/06/2007