MISSION DE LA CASA NURSING & REHABILITATION 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 "Special Care Low". 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 Mission De La Casa Nursing & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Special Care Low

Clinically Complex

Reduced Physical Function

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 10/26/2010.

Administration

Choose a Doctor to Be the Medical Director. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 10/26/2010 Correction Date: 12/09/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Get Rid of Garbage Properly. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 10/26/2010 Correction Date: 12/09/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/01/2009 Correction Date: 10/09/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/01/2009 Correction Date: 10/09/2009

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: 11/25/2008 Correction Date: 01/09/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
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: 09/01/2009 Correction Date: 10/09/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/26/2010 Correction Date: 12/09/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/26/2010 Correction Date: 12/09/2010

Resident Assessment

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: 11/25/2008 Correction Date: 01/09/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
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: 11/25/2008 Correction Date: 01/09/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
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: 10/26/2010 Correction Date: 12/09/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/26/2010 Correction Date: 12/09/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 11/25/2008 Correction Date: 01/09/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Let the Appropriate People See and Talk to Each Resident. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/01/2009 Correction Date: 10/09/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/26/2010 Correction Date: 12/09/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 10/26/2010 Correction Date: 12/09/2010

The table below lists incident reports by the nursing staff or administration for Mission De La Casa Nursing & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Administration

Give Lab Tests Only when the Attending Doctor Ordered Them. Complaint Filed: 09/24/2009 Correction Date: 11/20/2009
Keep Accurate and Appropriate Medical Records. Complaint Filed: 10/27/2009 Correction Date: 11/06/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 09/24/2009 Correction Date: 11/20/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 05/15/2008 Correction Date: 06/05/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 09/24/2009 Correction Date: 11/20/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 10/27/2009 Correction Date: 11/06/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 06/11/2008 Correction Date: 06/25/2008
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: 09/24/2009 Correction Date: 11/20/2009

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 De La Casa Nursing & Rehabilitation 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 10/27/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/15/2008 Correction Date: 01/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/01/2009 Correction Date: 09/23/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 09/01/2009 Correction Date: 09/23/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 09/01/2009 Correction Date: 09/23/2009
Properly Protected Cooking Facilities. Inspection Date: 10/27/2010 Correction Date: 12/03/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/01/2009 Correction Date: 09/23/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/27/2010 Correction Date: 12/03/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/01/2009 Correction Date: 09/23/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/27/2010 Correction Date: 12/03/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/27/2010 Correction Date: 12/03/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 12/15/2008 Correction Date: 01/09/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 09/01/2009 Correction Date: 09/23/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/01/2009 Correction Date: 09/23/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 12/15/2008 Correction Date: 01/09/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 12/15/2008 Correction Date: 01/09/2009
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 10/27/2010 Correction Date: 12/03/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/15/2008 Correction Date: 01/09/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 10/27/2010 Correction Date: 12/03/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 09/01/2009 Correction Date: 09/23/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/01/2009 Correction Date: 09/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 10/27/2010 Correction Date: 12/03/2010