KINDRED TRANSITIONAL CARE AND REHAB-LARKSPUR

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 Kindred Transitional Care and Rehab-Larkspur. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

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

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 05/27/2010.

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Keep All Essential Equipment Working Safely. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

Mistreatment

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: 05/22/2008 Correction Date: 07/01/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 05/22/2008 Correction Date: 07/01/2008
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: 05/22/2008 Correction Date: 07/01/2008
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: 05/22/2008 Correction Date: 07/01/2008
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: 05/27/2010 Correction Date: 08/20/2010
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: 05/27/2010 Correction Date: 08/20/2010

Resident Rights

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: 05/22/2008 Correction Date: 07/01/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/07/2009 Correction Date: 06/17/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/27/2010 Correction Date: 08/20/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/27/2010 Correction Date: 08/20/2010

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 Kindred Transitional Care and Rehab-Larkspur 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 06/17/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/28/2009 Correction Date: 06/19/2009
Portable Fire Extinguishers. Inspection Date: 05/28/2009 Correction Date: 06/19/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 06/17/2010 Correction Date: 07/13/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/17/2010 Correction Date: 07/13/2010
Portable Fire Extinguishers. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/05/2008 Correction Date: 06/24/2008
Approved Construction Type or Materials. Inspection Date: 05/28/2009 Correction Date: 06/19/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/05/2008 Correction Date: 06/24/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/28/2009 Correction Date: 06/19/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Electrical

Proper Power Supply for Life Support Equipment. Inspection Date: 06/05/2008 Correction Date: 06/24/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/28/2009 Correction Date: 06/19/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 06/17/2010 Correction Date: 07/13/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/28/2009 Correction Date: 06/19/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/05/2008 Correction Date: 06/24/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/28/2009 Correction Date: 06/19/2009
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/17/2010 Correction Date: 07/13/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/05/2008 Correction Date: 06/24/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/28/2009 Correction Date: 06/19/2009