SAN JOSE NURSING 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 Texas 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 03/30/2011.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/30/2011 Correction Date: 05/09/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Get Rid of Garbage Properly. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Keep All Essential Equipment Working Safely. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/27/2009 Correction Date: 01/01/1900
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/26/2010 Correction Date: 01/01/1900
Have a Program to Keep Infection from Spreading. Inspection Date: 03/30/2011 Correction Date: 05/09/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/30/2011 Correction Date: 01/01/1900

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 03/30/2011 Correction Date: 05/09/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/30/2011 Correction Date: 05/09/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/30/2011 Correction Date: 05/09/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/30/2011 Correction Date: 05/09/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/30/2011 Correction Date: 05/09/2011
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: 03/30/2011 Correction Date: 05/09/2011

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: 03/27/2009 Correction Date: 05/11/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 03/26/2010 Correction Date: 04/20/2010
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: 03/26/2010 Correction Date: 04/20/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/27/2009 Correction Date: 05/11/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 03/26/2010 Correction Date: 04/20/2010

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

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 04/27/2009 Correction Date: 06/10/2009

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 San Jose Nursing 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 03/29/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/10/2010 Correction Date: 04/20/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 03/29/2011 Correction Date: 01/01/1900

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/29/2011 Correction Date: 01/01/1900

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 03/24/2009 Correction Date: 05/11/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/10/2010 Correction Date: 04/20/2010