TUOLUMNE GENERAL MEDICAL FACILITY (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 05/19/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 04/02/2009 Correction Date: 04/28/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/19/2010 Correction Date: 06/04/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/19/2010 Correction Date: 06/04/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/04/2008 Correction Date: 01/23/2008

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/02/2009 Correction Date: 04/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/19/2010 Correction Date: 06/04/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/02/2009 Correction Date: 04/28/2009
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: 05/19/2010 Correction Date: 06/04/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/19/2010 Correction Date: 06/04/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/02/2009 Correction Date: 04/28/2009

Resident Assessment

Do an Assessment of the Resident Every Year. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 01/04/2008 Correction Date: 01/23/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/02/2009 Correction Date: 04/28/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/19/2010 Correction Date: 06/04/2010

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

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. Complaint Filed: 04/02/2009 Correction Date: 01/01/1900

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 Tuolumne General Medical Facility (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 06/04/2010.

Building Construction

Approved Construction Type or Materials. Inspection Date: 01/10/2008 Correction Date: 01/30/2008
Approved Construction Type or Materials. Inspection Date: 05/06/2009 Correction Date: 05/26/2009

Building Service Equipment

Properly Constructed Linen or Trash Chutes. Inspection Date: 05/06/2009 Correction Date: 05/26/2009
Properly Protected Cooking Facilities. Inspection Date: 06/04/2010 Correction Date: 06/25/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/10/2008 Correction Date: 01/30/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/06/2009 Correction Date: 05/26/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/04/2010 Correction Date: 06/25/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/10/2008 Correction Date: 01/30/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/06/2009 Correction Date: 05/26/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/10/2008 Correction Date: 01/30/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/06/2009 Correction Date: 05/26/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 05/06/2009 Correction Date: 05/26/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 01/10/2008 Correction Date: 01/30/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/06/2009 Correction Date: 05/26/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 05/06/2009 Correction Date: 05/26/2009

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 05/06/2009 Correction Date: 05/26/2009
Proper Medical Gas Storage and Administration Areas. Inspection Date: 06/04/2010 Correction Date: 06/25/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 01/10/2008 Correction Date: 01/30/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 05/06/2009 Correction Date: 05/26/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 06/04/2010 Correction Date: 06/25/2010