St. Francis Convalescent Pavilion
Health Inspections
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Health Inspections
2
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Health Deficiencies
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| This Nursing Home: 15 | |
| CA State Average: 9 | |
| U.S. Average: 6 | |
| CA Deficiencies Range: 1–35 | |
| Complaints & Incidents: 0 | Updated April 18, 2013. |
Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.
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. | 11/14/2012 | ||
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 11/14/2012 | ||
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 11/14/2012 | ||
| Ensure services provided by the nursing facility meet professional standards of quality. | 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. | 11/14/2012 | ||
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 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. | 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. | 11/14/2012 | ||
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 11/14/2012 | ||
| Keep clinical record information safe. | 11/14/2012 | ||
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 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. | 11/14/2012 | ||
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | 11/14/2012 | ||
| Store, cook, and serve food in a safe and clean way. | 11/14/2012 | ||
| Ensure residents maintain acceptable nutritional status. | 11/14/2012 |
October 05, 2011 Health Inspection
| 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. | 11/1/2011 | ||
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 11/1/2011 | ||
| Reasonably accommodate the needs and preferences of each resident. | 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. | 11/1/2011 | ||
| Have a program that investigates, controls and keeps infection from spreading. | 11/1/2011 | ||
| Maintain comfortable sound levels. | 11/1/2011 | ||
| Store, cook, and serve food in a safe and clean way. | 11/1/2011 |
August 27, 2010 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. | 9/27/2010 | ||
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 9/27/2010 | ||
| Provide routine and 24-hour emergency dental care for each resident. | 9/27/2010 | ||
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 9/27/2010 | ||
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 9/27/2010 | ||
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 9/27/2010 | ||
| Ensure that residents are safe from serious medication errors. | 9/27/2010 | ||
| 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. | 9/27/2010 | ||
| Conduct initial and periodic assessments of each resident's functional capacity. | 9/27/2010 | ||
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 9/27/2010 | ||
| Store, cook, and serve food in a safe and clean way. | 9/27/2010 |
This nursing home has not been cited for any Deficiencies from Incidents Reported by the Nursing Home or Complaints in the last 3 years.
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 April 18, 2013.