US Nursing Home Finder: ALDERSLY SKILLED NURSING FACILITY SAN RAFAEL CA

General Information: ALDERSLY SKILLED NURSING FACILITY
Nursing home name	ALDERSLY SKILLED NURSING FACILITY
Address	326 MISSION AVENUE SAN RAFAEL, CA 94901
Phone number	(415) 453-5686
Located within a hospital	No
Type of ownership	Non profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	Yes
Resident and family councils	RESIDENT
Certified number of beds	20
Total number of residents	13
Perc of occupied beds	65
Sprinkler status	fully sprinklered
Last health survey date	04/08/2009
Fire survey date:	04/21/2009

Ratings Summary: ALDERSLY SKILLED NURSING FACILITY
Overall rating	4 out of 5 stars
Nursing Home Staffing	5 out of 5 stars
Registered Nurses only	5 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: ALDERSLY SKILLED NURSING FACILITY
	National Average	ALDERSLY SKILLED NURSING FACILITY
Overall staff rating	Not Available.	5 out of 5 stars
Registered Nurses only rating	Not Available	5 out of 5 stars
Total Number of Residents	94.2	13
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	2.76 hours
Registered Nurses Hours per Residents per Day	0.6 hours	1.92 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.84 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	1.92 hours

Health Inpections: ALDERSLY SKILLED NURSING FACILITY
Inspection Results: 04/08/2009
Corrected	Category	Deficiency	Severity
05/20/2009	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
05/20/2009	Pharmacy Service Deficiencies	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.	D
05/20/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
05/20/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
05/20/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
05/20/2009	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	D
Inspection Results: 06/16/2008
Corrected	Category	Deficiency	Severity
07/02/2008	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	B
07/02/2008	Administration Deficiencies	Have a detailed, written plan for disasters and emergencies.	C
07/02/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	C
07/02/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
07/02/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
07/02/2008	Administration Deficiencies	Train all employees on what to do in an emergency.	E
07/02/2008	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
07/02/2008	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
07/02/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	E
Inspection Results: 05/03/2007
Corrected	Category	Deficiency	Severity
06/26/2007	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
06/26/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
06/26/2007	Quality Care Deficiencies	Give or get special rehabilitation if in the patient's plan of care.	D
06/26/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
06/26/2007	Pharmacy Service Deficiencies	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.	D
06/26/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
06/26/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
06/26/2007	Environmental Deficiencies	Keep sound levels comfortable.	D
06/26/2007	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	D

Fire Safety Inpections: ALDERSLY SKILLED NURSING FACILITY
Inspection Results: 04/21/2009
Corrected	Category	Deficiency	Severity
05/18/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	C
05/18/2009	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C
05/18/2009	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	E
05/18/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	F
05/18/2009	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	D
05/18/2009	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	D
05/18/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
Inspection Results: 06/19/2008
Corrected	Category	Deficiency	Severity
07/08/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
07/08/2008	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	E
07/08/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
Inspection Results: 05/15/2007
Corrected	Category	Deficiency	Severity
06/21/2007	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	D
06/21/2007	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
06/21/2007	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	D
06/21/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D

Resident Complaints: ALDERSLY SKILLED NURSING FACILITY
Date Complaint Substantiated: 10/24/2007
Corrected	Category	Deficiency	Severity
	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G

Quality Measures: ALDERSLY SKILLED NURSING FACILITY
Quality Measures	National Average	ALDERSLY SKILLED NURSING FACILITY
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	0%
Percent of long-stay residents who lose too much weight	8%	5%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who are more depressed or anxious	14%	16%
Percent of long-stay residents who were physically restrained	3%	5%
Percent of high-risk long-stay residents who have pressure sores	11%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of low-risk long-stay residents who have pressure sores	2%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who had a urinary tract infection	9%	0%
Percent of long-stay residents who have moderate to severe pain	3%	3%
Percent of long-stay residents whose need for help with daily activities has increased	14%	5%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	67%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	3%
Short-Stay Residents
Percent of short-stay residents who have delirium	2%	1%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who have pressure sores	13%	6%
Percent of short-stay residents who had moderate to severe pain	19%	35%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: ALDERSLY SKILLED NURSING FACILITY SAN RAFAEL CA