EMERALD GARDENS NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Emerald Gardens Nursing Center. 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

EMERALD GARDENS NURSING CENTER
6821 24TH STREET
SACRAMENTO, CA 95822
(916) 391-6011

Nursing Home Ratings

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

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 99
  • Certified Beds: 121

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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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 Emerald Gardens Nursing Center. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-1610.0%
Total Percent:10.0%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.9%
Total Percent:0.9%
 

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: 11-168.3%
ADL Index Range: 6-1013.9%
ADL Index Range: 0-540.2%
Total Percent:62.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.8%
ADL Index Range: 6-102.8%
ADL Index Range: 0-51.3%
Total Percent:16.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.4%
ADL Index Range: 6-101.6%
Total Percent:5.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
1.8%
Total Percent:1.8%
 

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: 6-10
- No Signs of depression
0.4%
Total Percent:0.4%
 

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: 6-10
- No Signs of depression
1.7%
Total Percent:1.7%
 

Rating Details For Emerald Gardens Nursing Center

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) Hours32 Minutes1 Hour and 17 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours23 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 4 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours54 Minutes1 Hour and 58 Minutes
Total Nurse Hours2 Hours and 59 Minutes4 Hours and 23 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 Vaccination88%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
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 Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%58%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%11%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Were Physically Restrained4%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious2%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores27%17%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain52%23%

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 09/10/2010.

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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
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: 08/08/2008
  • Correction Date: 08/29/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
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: 10/15/2009
  • Correction Date: 11/04/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008

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: 08/08/2008
  • Correction Date: 08/29/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
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: 09/10/2010
  • Correction Date: 10/28/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/28/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 08/08/2008
  • Correction Date: 08/29/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/04/2009

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 Emerald Gardens 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 09/16/2010.

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

Portable Fire Extinguishers.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009
Portable Fire Extinguishers.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009
Portable Fire Extinguishers.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009
Approved Construction Type or Materials.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/21/2009
  • Correction Date: 11/12/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/16/2010
  • Correction Date: 10/06/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011