CALIFORNIA HOME FOR THE AGED

The information listed below provides an in-depth look into the type and quality of care offered at California Home for the Aged. 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

CALIFORNIA HOME FOR THE AGED
6720 E. KINGS CANYON
FRESNO, CA 93727
(559) 251-8414

Nursing Home Ratings

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

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

  • Residents: 113
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Sanger | Clovis | Fowler

Resident Services

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 California Home for the Aged. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-165.7%
ADL Index Range: 6-1025.5%
ADL Index Range: 0-526.3%
Total Percent:57.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.2%
ADL Index Range: 6-107.5%
ADL Index Range: 0-54.0%
Total Percent:23.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.1%
ADL Index Range: 6-102.1%
ADL Index Range: 0-50.6%
Total Percent:3.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.3%
ADL Index Range: 6-103.1%
ADL Index Range: 0-51.0%
Total Percent:6.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.1%
ADL Index Range: 11-14
- No Signs of depression
4.6%
Total Percent:7.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
0.2%
ADL Index Range: 0-1
- No Signs of depression
0.2%
Total Percent:0.4%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Rating Details For California Home for the Aged

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) Hours34 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours41 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 51 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes1 Hour and 44 Minutes
Total Nurse Hours4 Hours and 6 Minutes4 Hours and 6 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 Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%86%

Long-Term Stay Deficiencies

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 Increased9%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight6%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder62%58%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%12%
Percent of Long-Stay Residents Who Were Physically Restrained4%7%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%23%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores8%17%

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 12/16/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/22/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/22/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/22/2009

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/22/2009

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: 09/18/2008
  • Correction Date: 10/15/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/22/2009

Resident Assessment

Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 09/18/2008
  • Correction Date: 10/15/2008

Deficiencies from Complaints and Incidents

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

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
Formal ComplaintsDegree of HarmResidents Affected

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 08/21/2008
  • Correction Date: 08/21/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Complaint Filed: 06/18/2010
  • Correction Date: 09/17/2010
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy.
  • Complaint Filed: 06/18/2010
  • Correction Date: 09/17/2010

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 California Home for the Aged 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 12/16/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Portable Fire Extinguishers.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/25/2008
  • Correction Date: 10/09/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/16/2010
  • Correction Date: 12/29/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/15/2009
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011