MISSION BAY CONVALESCENT HOSPITAL

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

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 07/15/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/11/2008 Correction Date: 09/24/2008
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 09/11/2008 Correction Date: 09/24/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/11/2008 Correction Date: 09/24/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/27/2009 Correction Date: 09/22/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/27/2009 Correction Date: 09/22/2009
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 08/27/2009 Correction Date: 09/03/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/27/2009 Correction Date: 09/03/2009
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 08/27/2009 Correction Date: 09/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/15/2010 Correction Date: 08/06/2010
Keep All Essential Equipment Working Safely. Inspection Date: 07/15/2010 Correction Date: 08/06/2010
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 07/15/2010 Correction Date: 08/06/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/15/2010 Correction Date: 08/06/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/15/2010 Correction Date: 08/06/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 07/15/2010 Correction Date: 08/06/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/27/2009 Correction Date: 09/22/2009
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment. Inspection Date: 08/27/2009 Correction Date: 09/22/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 09/11/2008 Correction Date: 09/24/2008
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: 08/27/2009 Correction Date: 09/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/27/2009 Correction Date: 09/22/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/15/2010 Correction Date: 08/06/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/15/2010 Correction Date: 08/06/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 08/27/2009 Correction Date: 09/22/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/15/2010 Correction Date: 08/06/2010

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: 07/15/2010 Correction Date: 08/06/2010
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: 07/15/2010 Correction Date: 08/06/2010

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 Mission Bay 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 07/23/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 07/23/2010 Correction Date: 09/02/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/23/2010 Correction Date: 09/02/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/28/2009 Correction Date: 09/23/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 08/28/2009 Correction Date: 09/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/23/2010 Correction Date: 09/02/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/24/2008 Correction Date: 10/07/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/28/2009 Correction Date: 09/23/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/23/2010 Correction Date: 09/02/2010