CULVER WEST CONVALESCENT HOSPITAL

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 "Ultra-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 Culver West Convalescent Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

Medium Rehabilitation

Reduced Physical Function

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 Preventive Actions

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 03/23/2011.

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/22/2008 Correction Date: 11/17/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/22/2008 Correction Date: 11/17/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/22/2008 Correction Date: 11/17/2008
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

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: 01/07/2010 Correction Date: 05/23/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/22/2008 Correction Date: 11/17/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

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: 10/22/2008 Correction Date: 11/17/2008
Get Doctor Orders for the Resident's Immediate Care when Admitted. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
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: 01/07/2010 Correction Date: 05/23/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

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: 10/22/2008 Correction Date: 11/17/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/22/2008 Correction Date: 11/17/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 10/22/2008 Correction Date: 11/17/2008
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: 01/07/2010 Correction Date: 05/23/2010
Have a Private Telephone Available for Use. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/07/2010 Correction Date: 05/23/2010
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: 03/23/2011 Correction Date: 04/22/2011

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 Culver West Convalescent 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 03/23/2011.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 01/13/2010 Correction Date: 01/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/22/2008 Correction Date: 11/22/2008
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 10/22/2008 Correction Date: 11/22/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/23/2011 Correction Date: 04/11/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 01/13/2010 Correction Date: 01/26/2010
Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 01/13/2010 Correction Date: 01/26/2010
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/23/2011 Correction Date: 04/11/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/13/2010 Correction Date: 01/26/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 01/13/2010 Correction Date: 01/26/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 10/22/2008 Correction Date: 11/22/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 01/13/2010 Correction Date: 01/26/2010
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/23/2011 Correction Date: 04/11/2011