GOLETA VALLEY COTTAGE HOSPITAL (DISTINCT PART SNF)

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 05/16/2011.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Inspection Date: 01/30/2009 Correction Date: 03/31/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/16/2011 Correction Date: 07/01/2011
Keep Adequate and Comfortable Lighting in All Areas. Inspection Date: 05/16/2011 Correction Date: 07/01/2011
Keep Sound Levels Comfortable. Inspection Date: 05/16/2011 Correction Date: 07/01/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/16/2011 Correction Date: 07/01/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/16/2011 Correction Date: 07/01/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/30/2009 Correction Date: 03/31/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/22/2010 Correction Date: 03/09/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/30/2009 Correction Date: 03/31/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/16/2011 Correction Date: 07/01/2011

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: 01/30/2009 Correction Date: 03/31/2009

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/30/2009 Correction Date: 03/31/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/22/2010 Correction Date: 03/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/16/2011 Correction Date: 07/01/2011

The table below lists incident reports by the nursing staff or administration for Goleta Valley Cottage Hospital (Distinct Part Snf), as well as complaints by residents or their family in the previous three years.

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 01/30/2009 Correction Date: 03/31/2009

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 Goleta Valley Cottage Hospital (Distinct Part Snf) 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 05/11/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 02/19/2009 Correction Date: 03/18/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/19/2009 Correction Date: 03/18/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/19/2009 Correction Date: 03/18/2009
Approved Construction Type or Materials. Inspection Date: 01/28/2010 Correction Date: 02/16/2010
Approved Construction Type or Materials. Inspection Date: 05/11/2011 Correction Date: 06/14/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/19/2009 Correction Date: 03/18/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/28/2010 Correction Date: 02/16/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/11/2011 Correction Date: 06/14/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/19/2009 Correction Date: 03/18/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/19/2009 Correction Date: 03/18/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 01/28/2010 Correction Date: 02/16/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/11/2011 Correction Date: 06/14/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 05/11/2011 Correction Date: 06/14/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 05/11/2011 Correction Date: 06/14/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/19/2009 Correction Date: 03/18/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 01/28/2010 Correction Date: 02/16/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/11/2011 Correction Date: 06/14/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/28/2010 Correction Date: 02/16/2010