St. Francis Convalescent Pavilion

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 19
CA State Average: 9
U.S. Average: 6
CA Deficiencies Range: 1–30
Complaints & Incidents: 1
Updated June 19, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

September 25, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
11/26/2013
Give each resident enough fluids to keep them healthy and prevent dehydration.
Some
Few
11/26/2013
Maintain comfortable sound levels.
Low
Some
11/26/2013
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Low
Some
11/26/2013
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
1/17/2014
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Some
2/10/2014
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
1/17/2014
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
11/26/2013
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Few
11/26/2013
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Few
11/26/2013
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Low
Few
1/17/2014
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
2/10/2014
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Few
11/26/2013
Store, cook, and serve food in a safe and clean way.
Low
Few
11/26/2013
Reasonably accommodate the needs and preferences of each resident.
Low
Few
11/26/2013
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
1/17/2014
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
11/26/2013
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
1/17/2014
Provide activities to meet the interests and needs of each resident.
Low
Few
11/26/2013

October 12, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Have a program that investigates, controls and keeps infection from spreading.
Low
Many
11/14/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Many
11/14/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
11/14/2012
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
11/14/2012
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Some
11/14/2012
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
Low
Some
11/14/2012
Store, cook, and serve food in a safe and clean way.
Low
Few
11/14/2012
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Low
Few
11/14/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
11/14/2012
Ensure residents maintain acceptable nutritional status.
Low
Few
11/14/2012
Keep clinical record information safe.
Low
Few
11/14/2012
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor.
Low
Few
11/14/2012
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Few
11/14/2012
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Few
11/14/2012
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Low
Few
11/14/2012

October 05, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
11/1/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
11/1/2011
Reasonably accommodate the needs and preferences of each resident.
Low
Few
11/1/2011
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.
Low
Few
11/1/2011
Maintain comfortable sound levels.
Low
Few
11/1/2011
Have a program that investigates, controls and keeps infection from spreading.
Low
Few
11/1/2011
Store, cook, and serve food in a safe and clean way.
Low
Few
11/1/2011

February 18, 2014 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Few
3/27/2014

January 06, 2014 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
1/22/2014

January 03, 2014 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
1/22/2014

September 13, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Few
3/20/2014

June 28, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
7/23/2013

May 09, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
6/4/2013

May 07, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Have a program that investigates, controls and keeps infection from spreading.
Low
Few
5/20/2013

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated June 19, 2014.


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