PARKVIEW HEALTHCARE CENTER CA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
07/01/2010	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
07/01/2010	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
07/01/2010	properly located and lighted "Exit" signs.	Isolated	Minimal harm or potential for actual harm
07/01/2010	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
07/01/2010	restrictions on the use of highly flammable materials.	Pattern	Minimal harm or potential for actual harm
07/01/2010	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
07/01/2010	weekly inspections and monthly testing of generators.	Widespread	Potential for minimal harm
07/01/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
06/10/2010	Send and promptly deliver unopened mail to residents.	Pattern	Minimal harm or potential for actual harm
06/10/2010	Protect a resident's right to refuse some types of non-requested transfers within the nursing home.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
06/10/2010	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
06/10/2010	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
06/10/2010	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.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Develop/implement required procedures for the administration of immunizations.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Provide food in a way that meets a resident's needs.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
06/10/2010	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Potential for minimal harm
06/18/2009	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
06/18/2009	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	Isolated	Minimal harm or potential for actual harm
06/18/2009	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
06/18/2009	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Isolated	Minimal harm or potential for actual harm
06/18/2009	construction that can resist fire for one hour or an approved fire extinguishing system.	Pattern	Minimal harm or potential for actual harm
06/18/2009	exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
06/18/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Potential for minimal harm
06/18/2009	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Potential for minimal harm
06/18/2009	properly maintained smoke detectors.	Pattern	Minimal harm or potential for actual harm
06/18/2009	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
06/18/2009	portable fire extinguishers.	Widespread	Minimal harm or potential for actual harm
06/18/2009	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Minimal harm or potential for actual harm
06/18/2009	properly sized and located linen or trash receptacles.	Isolated	Minimal harm or potential for actual harm
06/18/2009	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
06/18/2009	fire safety features required by current fire safety codes.	Widespread	Potential for minimal harm
06/18/2009	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
06/04/2009	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Do an assessment of the resident every year.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Check and update (if needed) each resident's assessment every 3 months.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
06/04/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Keep assessments completed in the preceding 15 months in the resident's active record.	Pattern	Potential for minimal harm
06/04/2009	Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
06/04/2009	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Pattern	Minimal harm or potential for actual harm
06/04/2009	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Pattern	Potential for minimal harm
06/04/2009	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.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Make sure that residents are well nourished.	Pattern	Potential for minimal harm
06/04/2009	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Widespread	Potential for minimal harm
06/04/2009	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Isolated	Minimal harm or potential for actual harm
06/04/2009	Keep all essential equipment working safely.	Widespread	Potential for minimal harm
06/04/2009	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm
06/04/2009	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Widespread	Potential for minimal harm
07/03/2008	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
07/03/2008	record of quarterly fire drills for each shift under varying conditions.	Pattern	Potential for minimal harm
07/03/2008	a fire alarm system that can be heard throughout the facility.	Widespread	Minimal harm or potential for actual harm
07/03/2008	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Minimal harm or potential for actual harm
07/03/2008	properly protected cooking facilities.	Isolated	Minimal harm or potential for actual harm
07/03/2008	weekly inspections and monthly testing of generators.	Widespread	Potential for minimal harm
06/19/2008	Tell the resident completely about his or her health status.	Pattern	Minimal harm or potential for actual harm
06/19/2008	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
06/19/2008	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
06/19/2008	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
06/19/2008	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
06/19/2008	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
06/19/2008	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.	Isolated	Minimal harm or potential for actual harm
06/19/2008	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Pattern	Potential for minimal harm
06/19/2008	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
06/19/2008	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
06/19/2008	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death