ALAMEDA COUNTY MEDICAL CENTER (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 10/21/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/14/2008 Correction Date: 09/05/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 10/21/2010 Correction Date: 11/21/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Keep All Essential Equipment Working Safely. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Keep All Essential Equipment Working Safely. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/21/2010 Correction Date: 11/21/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/14/2008 Correction Date: 06/06/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/21/2010 Correction Date: 11/21/2010

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: 04/14/2008 Correction Date: 06/06/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/14/2008 Correction Date: 09/05/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 10/21/2010 Correction Date: 11/21/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 10/21/2010 Correction Date: 11/21/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 10/21/2010 Correction Date: 11/21/2010

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: 04/14/2008 Correction Date: 06/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/10/2009 Correction Date: 09/10/2009
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: 08/10/2009 Correction Date: 09/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/10/2009 Correction Date: 09/10/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/14/2008 Correction Date: 06/06/2008
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: 10/21/2010 Correction Date: 11/21/2010

The table below lists incident reports by the nursing staff or administration for Alameda County Medical Center (Distinct Part Snf), as well as complaints by residents or their family in the previous three years.

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Complaint Filed: 03/03/2010 Correction Date: 05/14/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/17/2008 Correction Date: 09/03/2008

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 07/17/2008 Correction Date: 08/29/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 07/17/2008 Correction Date: 09/03/2008

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 Alameda County Medical Center (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 10/28/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/28/2010 Correction Date: 12/03/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 10/28/2010 Correction Date: 12/03/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/12/2009 Correction Date: 09/28/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
The Appropriate Emergency Electrical Equipment. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/12/2009 Correction Date: 09/28/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/28/2010 Correction Date: 12/03/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/26/2008 Correction Date: 04/17/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/26/2008 Correction Date: 04/17/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
An Automatic Smoke Detection System in All Hallways. Inspection Date: 08/12/2009 Correction Date: 09/28/2009
Properly Maintained Smoke Detectors. Inspection Date: 08/12/2009 Correction Date: 09/28/2009
An Automatic Smoke Detection System in All Hallways. Inspection Date: 10/28/2010 Correction Date: 12/03/2010

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 08/12/2009 Correction Date: 09/28/2009
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 10/28/2010 Correction Date: 12/03/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 08/12/2009 Correction Date: 09/28/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/26/2008 Correction Date: 04/17/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 03/26/2008 Correction Date: 04/17/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/26/2008 Correction Date: 04/17/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/12/2009 Correction Date: 09/28/2009

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 08/12/2009 Correction Date: 09/28/2009