General Information: GRAMERCY COURT
Nursing home name GRAMERCY COURT
Address2200 GRAMERCY DRIVE
SACRAMENTO, CA 95825
Phone number (916) 482-2200
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 120
Total number of residents 115
Perc of occupied beds 95
Sprinkler status Yes
Number of Facility Reported Incidents13
Number of Substantiated Complaints10
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: GRAMERCY COURT
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 2
2
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: GRAMERCY COURT
National AverageCalifornia AverageGRAMERCY COURT
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 115
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 4.15 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 1.51 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 0.44 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.07 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.64 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.05 hours
Health Survey: GRAMERCY COURT
Heath Survey Summary on 2013-04-19
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-25
Total Number of Health Deficiencies 18
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-22
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: GRAMERCY COURT
Inspection Results: 04/19/2013
Corrected Deficiency Scope and Severity
05/16/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
05/16/2013 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
05/16/2013 Provide clean bed and bath linens that are in good condition. Pattern/Minimal harm or potential for actual harm
05/16/2013 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern/Minimal harm or potential for actual harm
05/16/2013 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
05/16/2013 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
05/16/2013 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern/Minimal harm or potential for actual harm
05/16/2013 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
05/16/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
05/16/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
05/16/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm
Inspection Results: 05/25/2012
Corrected Deficiency Scope and Severity
06/26/2012 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. Isolated/Minimal harm or potential for actual harm
06/26/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
06/26/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
06/26/2012 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
06/26/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
06/26/2012 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern/Minimal harm or potential for actual harm
06/26/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
06/26/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
06/26/2012 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
06/26/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern/Minimal harm or potential for actual harm
06/26/2012 Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated/Minimal harm or potential for actual harm
06/26/2012 Completely assess the resident at least every twelve months. Isolated/Minimal harm or potential for actual harm
06/26/2012 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
06/26/2012 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated/Minimal harm or potential for actual harm
06/26/2012 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Pattern/Minimal harm or potential for actual harm
06/26/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
06/26/2012 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. Isolated/Minimal harm or potential for actual harm
06/26/2012 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
Inspection Results: 04/22/2011
Corrected Deficiency Scope and Severity
05/25/2011 Try to resolve each resident's complaints quickly. Isolated/Minimal harm or potential for actual harm
05/25/2011 Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern/Minimal harm or potential for actual harm
05/25/2011 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. Pattern/Minimal harm or potential for actual harm
05/25/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
05/25/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
05/25/2011 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Minimal harm or potential for actual harm
05/25/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
05/25/2011 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
05/25/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
05/25/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: GRAMERCY COURT
Fire Safety Survey Summary on 2013-04-25
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-06-08
Total Number of Fire SafetyDeficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-28
Total Number of Fire SafetyDeficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: GRAMERCY COURT
Fire Safety Survey Results: 04/25/2013
Corrected Deficiency Severity
05/16/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
05/16/2013 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
05/16/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
05/16/2013 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
05/16/2013 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
05/16/2013 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread /Minimal harm or potential for actual harm
05/16/2013 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
05/16/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 06/08/2012
Corrected Deficiency Severity
07/03/2012 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
07/03/2012 Properly located and lighted "Exit" signs. Widespread /Minimal harm or potential for actual harm
07/03/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
07/03/2012 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
07/03/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
07/03/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
07/03/2012 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
07/03/2012 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
07/03/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
07/03/2012 Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
07/03/2012 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
07/03/2012 Emergency lighting that can last at least 1 1/2 hours. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/28/2011
Corrected Deficiency Severity
05/17/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
05/17/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
05/17/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
05/17/2011 Emergency lighting that can last at least 1 1/2 hours. Isolated/Minimal harm or potential for actual harm
05/17/2011 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
05/17/2011 A fire alarm system that can be heard throughout the facility. Isolated/Minimal harm or potential for actual harm
05/17/2011 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
05/17/2011 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
05/17/2011 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
05/17/2011 Weekly inspections and monthly testing of generators. Isolated/Minimal harm or potential for actual harm
05/17/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: GRAMERCY COURT
Date Complaint Substantiated: 03/25/2014
CorrectedCategoryDeficiencySeverity
04/23/2014Ensure services provided by the nursing facility meet professional standards of quality. D
Date Complaint Substantiated: 03/06/2014
CorrectedCategoryDeficiencySeverity
03/21/2014Develop 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. D
Date Complaint Substantiated: 01/15/2014
CorrectedCategoryDeficiencySeverity
01/24/2014Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
01/24/2014Ensure 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. D
Date Complaint Substantiated: 09/11/2013
CorrectedCategoryDeficiencySeverity
09/24/2013Protect each resident from all abuse, physical punishment, and involuntary separation from others. D
Date Complaint Substantiated: 09/03/2013
CorrectedCategoryDeficiencySeverity
09/12/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 08/30/2013
CorrectedCategoryDeficiencySeverity
09/12/2013Protect each resident from mistreatment, neglect and misappropriation of personal property. D
Date Complaint Substantiated: 07/02/2013
CorrectedCategoryDeficiencySeverity
07/15/2013Protect each resident from mistreatment, neglect and misappropriation of personal property. D
Date Complaint Substantiated: 02/06/2013
CorrectedCategoryDeficiencySeverity
02/19/2013Store, cook, and serve food in a safe and clean way. C
Date Complaint Substantiated: 02/05/2013
CorrectedCategoryDeficiencySeverity
03/13/2013Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
03/13/2013Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Date Complaint Substantiated: 11/02/2012
CorrectedCategoryDeficiencySeverity
11/20/2012Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. D
Date Complaint Substantiated: 09/28/2012
CorrectedCategoryDeficiencySeverity
10/11/2012Protect each resident from mistreatment, neglect and misappropriation of personal property. D
Date Complaint Substantiated: 07/10/2012
CorrectedCategoryDeficiencySeverity
07/27/2012Develop 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. D
Date Complaint Substantiated: 05/07/2012
CorrectedCategoryDeficiencySeverity
05/24/2012Have a program that investigates, controls and keeps infection from spreading. F
Date Complaint Substantiated: 04/09/2012
CorrectedCategoryDeficiencySeverity
04/17/2012Tell the resident or the residents representative in writing how long the nursing home will hold the residents bed in cases of transfer to a hospital or therapeutic leave. D
Date Complaint Substantiated: 04/02/2012
CorrectedCategoryDeficiencySeverity
05/02/2012Ensure 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. E
05/02/2012At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. E

Quality Measures: GRAMERCY COURT
Quality Measures National Average California Average GRAMERCY COURT
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% 3.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 2.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 1.3%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 5.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 52.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 2.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 6.2%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% 6.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% 2.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 99.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 14.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 7.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 0.6%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 95.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 93.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 0.4%

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