METROPOLITAN STATE HOSPITAL SKILLED NURSING FACILITY

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 10/07/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Post Nurse Staffing Information. Inspection Date: 10/07/2010 Correction Date: 12/29/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 10/07/2010 Correction Date: 12/29/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/07/2010 Correction Date: 12/29/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/07/2010 Correction Date: 12/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/07/2010 Correction Date: 12/29/2010
Keep All Essential Equipment Working Safely. Inspection Date: 10/07/2010 Correction Date: 12/29/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/07/2010 Correction Date: 12/29/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 10/10/2008 Correction Date: 11/10/2008

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/07/2010 Correction Date: 12/29/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/07/2010 Correction Date: 12/29/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/15/2009 Correction Date: 11/30/2009

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: 10/10/2008 Correction Date: 11/10/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 10/10/2008 Correction Date: 11/10/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/15/2009 Correction Date: 11/30/2009

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: 10/10/2008 Correction Date: 11/10/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 10/15/2009 Correction Date: 11/30/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/07/2010 Correction Date: 12/29/2010

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 Metropolitan State Hospital Skilled Nursing Facility 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 10/13/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Portable Fire Extinguishers. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Properly Working Sprinkler Alarm System. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
Portable Fire Extinguishers. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/13/2010 Correction Date: 12/20/2010
Portable Fire Extinguishers. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
Approved Construction Type or Materials. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 10/13/2010 Correction Date: 12/20/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/13/2010 Correction Date: 12/20/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/28/2008 Correction Date: 01/22/2009
Properly Maintained Smoke Detectors. Inspection Date: 10/20/2009 Correction Date: 12/03/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/13/2010 Correction Date: 12/20/2010
Properly Maintained Smoke Detectors. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/20/2009 Correction Date: 12/03/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 10/13/2010 Correction Date: 12/20/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 10/13/2010 Correction Date: 12/20/2010