MANORCARE HEALTH SERVICES-WALNUT CREEK

The information listed below provides an in-depth look into the type and quality of care offered at Manorcare Health Services-Walnut Creek. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MANORCARE HEALTH SERVICES-WALNUT CREEK
1226 ROSSMOOR PARKWAY
WALNUT CREEK, CA 94595
(925) 975-5000

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

85%

Number of Residents and Certified Beds

  • Residents: 131
  • Certified Beds: 155

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Lafayette | Moraga | Pleasant Hill

Resident Services

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 Manorcare Health Services-Walnut Creek. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.7%
ADL Index Range: 2-103.5%
Total Percent:4.2%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.7%
Total Percent:0.7%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1616.6%
ADL Index Range: 6-1060.4%
ADL Index Range: 0-57.3%
Total Percent:84.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.6%
ADL Index Range: 6-103.7%
ADL Index Range: 0-50.9%
Total Percent:7.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.2%
ADL Index Range: 0-50.2%
Total Percent:0.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.2%
ADL Index Range: 6-100.2%
ADL Index Range: 0-50.1%
Total Percent:0.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.3%
ADL Index Range: 11-14
- No Signs of depression
0.3%
Total Percent:0.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.9%
ADL Index Range: 11-14
- No Signs of depression
0.8%
ADL Index Range: 2-5
- No Signs of depression
0.2%
Total Percent:1.9%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:0.1%
 

Rating Details For Manorcare Health Services-Walnut Creek

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours58 Minutes1 Hour and 21 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 30 Minutes2 Hours and 35 Minutes
Total Licensed Nurse Hours1 Hour and 48 Minutes2 Hours and 6 Minutes
Total Nurse Hours4 Hours and 18 Minutes4 Hours and 41 Minutes

Quality of Care -

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.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season87%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained-7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%8%
Percent of Long-Stay Residents Who Lose Too Much Weight4%7%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%58%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores14%17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain11%23%

Health Inspection Details -

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 07/29/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/21/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/21/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
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: 02/28/2008
  • Correction Date: 03/26/2008
Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/01/2009
  • Correction Date: 06/01/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/28/2008
  • Correction Date: 03/26/2008
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.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/21/2010

Fire Safety

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 Manorcare Health Services-Walnut Creek 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 08/03/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Portable Fire Extinguishers.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/04/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/03/2010
  • Correction Date: 08/17/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/04/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/04/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/04/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/03/2010
  • Correction Date: 08/17/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011