SELMA CONVALESCENT HOSPITAL

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 09/02/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/26/2008 Correction Date: 08/07/2008
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 07/17/2009 Correction Date: 08/26/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/26/2008 Correction Date: 08/07/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/17/2009 Correction Date: 08/26/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 07/17/2009 Correction Date: 08/26/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/02/2010 Correction Date: 10/14/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/02/2010 Correction Date: 10/14/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/26/2008 Correction Date: 08/07/2008
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: 07/17/2009 Correction Date: 08/26/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/17/2009 Correction Date: 08/26/2009

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: 06/26/2008 Correction Date: 08/07/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/02/2010 Correction Date: 10/14/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/26/2008 Correction Date: 08/07/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/26/2008 Correction Date: 08/07/2008

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: 06/26/2008 Correction Date: 08/07/2008
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: 09/02/2010 Correction Date: 10/14/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 06/26/2008 Correction Date: 08/07/2008
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: 07/17/2009 Correction Date: 08/26/2009

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 Selma Convalescent Hospital 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 09/21/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 07/30/2008 Correction Date: 08/18/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/30/2009 Correction Date: 08/25/2009

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/30/2009 Correction Date: 08/25/2009
Approved Construction Type or Materials. Inspection Date: 09/21/2010 Correction Date: 10/13/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/30/2008 Correction Date: 08/18/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/30/2009 Correction Date: 08/25/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/21/2010 Correction Date: 10/13/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/30/2008 Correction Date: 08/18/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 07/30/2009 Correction Date: 08/25/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/30/2009 Correction Date: 08/25/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 07/30/2008 Correction Date: 08/18/2008
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 07/30/2009 Correction Date: 08/25/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/30/2008 Correction Date: 08/18/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/21/2010 Correction Date: 10/13/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/21/2010 Correction Date: 10/13/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/21/2010 Correction Date: 10/13/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/30/2008 Correction Date: 08/18/2008