EDGEMOOR HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Edgemoor Hospital. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

EDGEMOOR HOSPITAL
655 PARK CENTER DRIVE
SANTEE, CA 92071
(619) 596-5500

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

  • Residents: 187
  • Certified Beds: 192

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Palm Desert

Rating Details For Edgemoor Hospital

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 31 Minutes57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours and 41 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours2 Hours and 6 Minutes1 Hour and 38 Minutes
Total Nurse Hours6 Hours and 47 Minutes4 Hours and 8 Minutes

Quality of Care -

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.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%11%
Percent of Long-Stay Residents Who Lose Too Much Weight8%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%58%
Percent of Long-Stay Residents Who Were Physically Restrained-7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%

Health Inspection Details -

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 08/20/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 08/20/2010
  • Correction Date: 09/18/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/20/2010
  • Correction Date: 09/18/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/20/2010
  • Correction Date: 09/18/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/20/2010
  • Correction Date: 09/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009

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: 07/24/2008
  • Correction Date: 09/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009

Resident Rights

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: 07/24/2008
  • Correction Date: 09/01/2008
Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/01/2008
Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/21/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/20/2010
  • Correction Date: 09/18/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 08/20/2010
  • Correction Date: 09/18/2010

Fire Safety

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 Edgemoor Hospital 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 09/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Portable Fire Extinguishers.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/16/2009
Portable Fire Extinguishers.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/16/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/23/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/16/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/23/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/16/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/23/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/16/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/27/2009
  • Correction Date: 09/16/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/06/2008
  • Correction Date: 08/29/2008
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011