MEMORIAL HOSPITAL OF GARDENA (DISTINCT PART SNF)

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 "Extensive Services". 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 Memorial Hospital of Gardena (Distinct Part Snf). For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Extensive Services

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 04/27/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 04/15/2010 Correction Date: 06/04/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/27/2011 Correction Date: 07/18/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
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: 04/27/2011 Correction Date: 07/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/27/2011 Correction Date: 07/18/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
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: 04/27/2011 Correction Date: 07/18/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 04/27/2011 Correction Date: 07/18/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/14/2009 Correction Date: 05/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
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: 04/27/2011 Correction Date: 07/18/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/27/2011 Correction Date: 07/18/2011

Resident Assessment

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: 04/14/2009 Correction Date: 05/12/2009
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: 04/14/2009 Correction Date: 05/12/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/15/2010 Correction Date: 06/04/2010
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: 04/27/2011 Correction Date: 07/18/2011

Resident Rights

Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 04/27/2011 Correction Date: 07/18/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/27/2011 Correction Date: 07/18/2011

The table below lists incident reports by the nursing staff or administration for Memorial Hospital of Gardena (Distinct Part Snf), as well as complaints by residents or their family in the previous three years.

Environmental

Have Enough Outside Airflow. Complaint Filed: 08/12/2008 Correction Date: 10/20/2008

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 Memorial Hospital of Gardena (Distinct Part Snf) 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 05/16/2011.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/15/2009 Correction Date: 05/13/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/15/2009 Correction Date: 05/13/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/16/2011 Correction Date: 07/15/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/16/2011 Correction Date: 07/15/2011