General Information: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Nursing home name ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Address1652 MONO AVENUE
SAN LEANDRO, CA 94578
Phone number (510) 481-3200
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 86
Total number of residents 64
Perc of occupied beds 74
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 3
3
Quality Measures 2
2
Nursing Home Staffing Info: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
National AverageCalifornia AverageALL SAINTS SUBACUTE AND REHABILITATION CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 64
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 5.94 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 3.12 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 1.93 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 1.19 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.81 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.02 hours
Health Survey: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Heath Survey Summary on 2013-08-13
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 2012-07-25
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-05-11
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: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Inspection Results: 08/13/2013
Corrected Deficiency Scope and Severity
09/13/2013 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
09/13/2013 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
09/13/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
09/13/2013 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern/Minimal harm or potential for actual harm
09/13/2013 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. Isolated/Minimal harm or potential for actual harm
09/13/2013 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
09/13/2013 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
09/13/2013 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
09/13/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
09/13/2013 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern/Minimal harm or potential for actual harm
09/13/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/25/2012
Corrected Deficiency Scope and Severity
08/31/2012 Ensure services provided by the nursing facility meet professional standards of quality. Pattern/Minimal harm or potential for actual harm
08/31/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Potential for minimal harm
08/31/2012 Provide adequate and comfortable lighting levels in all areas. Pattern/Potential for minimal harm
08/31/2012 Put firmly secured handrails on each side of hallways. Pattern/Minimal harm or potential for actual harm
Inspection Results: 05/11/2011
Corrected Deficiency Scope and Severity
06/14/2011 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
06/14/2011 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
06/14/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
06/14/2011 Keep residents' personal and medical records private and confidential. Pattern/Minimal harm or potential for actual harm
06/14/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
06/14/2011 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated/Minimal harm or potential for actual harm
06/14/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
06/14/2011 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
06/14/2011 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern/Minimal harm or potential for actual harm
06/14/2011 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: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Fire Safety Survey Summary on 2013-08-13
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-08-02
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 Summary on 2011-05-26
Total Number of Fire SafetyDeficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Fire Safety Survey Results: 08/13/2013
Corrected Deficiency Severity
09/03/2013 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
09/03/2013 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
09/03/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/02/2012
Corrected Deficiency Severity
08/30/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
08/30/2012 Portable fire extinguishers. Pattern/Minimal harm or potential for actual harm
08/30/2012 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
08/30/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/30/2012 Smoke barrier doors that can resist smoke for at least 20 minutes. Widespread /Minimal harm or potential for actual harm
08/30/2012 Protected exits that allow the resident to escape the building. Isolated/Minimal harm or potential for actual harm
08/30/2012 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
08/30/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
08/30/2012 Emergency lighting that can last at least 1 1/2 hours. Isolated/Minimal harm or potential for actual harm
08/30/2012 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Pattern/Minimal harm or potential for actual harm
08/30/2012 Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/26/2011
Corrected Deficiency Severity
06/20/2011 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
06/20/2011 An approved installation, maintenance and testing program for fire alarm systems. Pattern/Minimal harm or potential for actual harm
06/20/2011 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
06/20/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/20/2011 Proper stairway enclosures and vertical shafts. Isolated/Minimal harm or potential for actual harm
06/20/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
06/20/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
06/20/2011 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
06/20/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
06/20/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Date Complaint Substantiated: 12/12/2013
CorrectedCategoryDeficiencySeverity
01/07/2014Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
Date Complaint Substantiated: 03/28/2012
CorrectedCategoryDeficiencySeverity
04/27/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 03/07/2012
CorrectedCategoryDeficiencySeverity
03/26/2012Keep accurate, complete and organized clinical records on each resident that meet professional standards. D

Quality Measures: ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Quality Measures National Average California Average ALL SAINTS SUBACUTE AND REHABILITATION CENTER
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% %
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 13.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 9.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 0.5%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 10.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 5.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.1% 2.4%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% 1.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 98.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 8.6%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% %
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 2.5%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 91.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 79.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 1.8%

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