LA MARIPOSA CARE AND REHAB CENTER

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 La Mariposa Care and Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

Clinically Complex

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 05/28/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Choose a Doctor to Be the Medical Director. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Post Nurse Staffing Information. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 03/21/2008 Correction Date: 03/21/2008
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Provide Bedrooms That Hold No More Than 4 Residents Per Room. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
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: 03/21/2008 Correction Date: 06/30/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/21/2008 Correction Date: 06/30/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

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: 03/21/2008 Correction Date: 05/27/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
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: 03/21/2008 Correction Date: 05/27/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/13/2009 Correction Date: 05/13/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/28/2010 Correction Date: 08/10/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
Do an Assessment of the Resident Every Year. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
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: 03/21/2008 Correction Date: 05/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status. Inspection Date: 03/21/2008 Correction Date: 05/27/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 03/21/2008 Correction Date: 06/30/2008
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: 05/28/2010 Correction Date: 08/10/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/28/2010 Correction Date: 08/10/2010

The table below lists incident reports by the nursing staff or administration for La Mariposa Care and Rehab Center, as well as complaints by residents or their family in the previous three years.

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 07/25/2008 Correction Date: 05/20/2009
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. Complaint Filed: 07/25/2008 Correction Date: 05/20/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 07/25/2008 Correction Date: 05/20/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 02/10/2009 Correction Date: 01/01/1900
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 06/03/2009 Correction Date: 09/24/2009

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. Complaint Filed: 07/01/2008 Correction Date: 01/12/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/02/2008 Correction Date: 04/17/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 12/04/2008 Correction Date: 01/01/1900
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy. Complaint Filed: 12/04/2008 Correction Date: 01/01/1900

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 La Mariposa Care and Rehab 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 06/08/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/18/2008 Correction Date: 05/06/2008
Properly Working Alarms on Sprinkler Valves. Inspection Date: 04/21/2009 Correction Date: 05/27/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/08/2010 Correction Date: 06/25/2010
Portable Fire Extinguishers. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/21/2009 Correction Date: 05/27/2009
Approved Construction Type or Materials. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/18/2008 Correction Date: 05/06/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/18/2008 Correction Date: 05/06/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/21/2009 Correction Date: 05/27/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 06/08/2010 Correction Date: 06/25/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/21/2009 Correction Date: 05/27/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 03/18/2008 Correction Date: 05/06/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 06/08/2010 Correction Date: 06/25/2010
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 03/18/2008 Correction Date: 05/06/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 04/21/2009 Correction Date: 05/27/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/08/2010 Correction Date: 06/25/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/18/2008 Correction Date: 05/06/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/08/2010 Correction Date: 06/25/2010