SHANDIN HILLS BEHAVIOR THERAPY CENTER

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 02/18/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Train All Employees on What to Do in an Emergency. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
Keep All Essential Equipment Working Safely. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/18/2011 Correction Date: 01/01/1900
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/18/2011 Correction Date: 07/07/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/18/2011 Correction Date: 07/07/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/18/2011 Correction Date: 07/07/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/18/2011 Correction Date: 01/01/1900

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/18/2011 Correction Date: 07/07/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/06/2009 Correction Date: 04/17/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/06/2009 Correction Date: 04/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 02/18/2011 Correction Date: 07/07/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/18/2011 Correction Date: 07/07/2011

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: 02/06/2009 Correction Date: 04/17/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/18/2011 Correction Date: 07/07/2011

Resident Rights

Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
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: 04/09/2010 Correction Date: 05/26/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/09/2010 Correction Date: 05/26/2010
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: 02/18/2011 Correction Date: 07/07/2011

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 Shandin Hills Behavior Therapy Center 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 02/23/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Portable Fire Extinguishers. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
Portable Fire Extinguishers. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/23/2011 Correction Date: 05/03/2011
Portable Fire Extinguishers. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Approved Construction Type or Materials. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
Approved Construction Type or Materials. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Properly Protected Cooking Facilities. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/23/2011 Correction Date: 05/03/2011
Properly Protected Cooking Facilities. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/23/2011 Correction Date: 05/03/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Properly Maintained Smoke Detectors. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 02/23/2011 Correction Date: 05/03/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/04/2009 Correction Date: 02/23/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/08/2010 Correction Date: 06/09/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/08/2010 Correction Date: 06/09/2010