SEAVIEW HEALTHCARE & REHAB CENTER CA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
11/18/2010	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
11/18/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
11/18/2010	signs that state that exit doors are to be kept closed.	Isolated	Minimal harm or potential for actual harm
11/18/2010	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Widespread	Minimal harm or potential for actual harm
11/18/2010	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm
11/18/2010	emergency lighting that can last at least 1 1/2 hours.	Isolated	Minimal harm or potential for actual harm
11/18/2010	properly located and lighted "Exit" signs.	Isolated	Minimal harm or potential for actual harm
11/18/2010	did not have a written emergency evacuation plan.	Widespread	Minimal harm or potential for actual harm
11/18/2010	record of quarterly fire drills for each shift under varying conditions.	Pattern	Minimal harm or potential for actual harm
11/18/2010	an approved installation, maintenance and testing program for fire alarm systems.	Pattern	Minimal harm or potential for actual harm
11/18/2010	properly maintained smoke detectors.	Pattern	Minimal harm or potential for actual harm
11/18/2010	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
11/18/2010	portable fire extinguishers.	Isolated	Minimal harm or potential for actual harm
11/18/2010	properly protected cooking facilities.	Isolated	Minimal harm or potential for actual harm
11/18/2010	restrictions on the use of portable space heaters.	Isolated	Minimal harm or potential for actual harm
11/18/2010	restrictions on the use of highly flammable materials.	Isolated	Minimal harm or potential for actual harm
11/18/2010	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
11/18/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
10/29/2010	Protect each resident from all abuse, physical punishment, and being separated from others.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
10/29/2010	Listen to the resident or family groups or act on their complaints or suggestions.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
10/29/2010	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
10/29/2010	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
10/29/2010	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
10/29/2010	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
10/29/2010	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Isolated	Minimal harm or potential for actual harm
10/29/2010	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
10/29/2010	Train all employees on what to do in an emergency.	Isolated	Minimal harm or potential for actual harm
11/02/2009	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
11/02/2009	corridor and hallway doors that block smoke.	Widespread	Minimal harm or potential for actual harm
11/02/2009	signs that state that exit doors are to be kept closed.	Isolated	Minimal harm or potential for actual harm
11/02/2009	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
11/02/2009	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
11/02/2009	properly located and lighted "Exit" signs.	Isolated	Minimal harm or potential for actual harm
11/02/2009	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
11/02/2009	portable fire extinguishers.	Pattern	Minimal harm or potential for actual harm
11/02/2009	properly protected cooking facilities.	Isolated	Minimal harm or potential for actual harm
11/02/2009	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
11/02/2009	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
10/29/2009	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Pattern	Minimal harm or potential for actual harm
10/29/2009	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
10/29/2009	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
10/29/2009	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Pattern	Minimal harm or potential for actual harm
10/29/2009	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
10/29/2009	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
10/29/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
10/29/2009	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.	Isolated	Minimal harm or potential for actual harm
10/29/2009	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
10/29/2009	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
10/29/2009	Have a detailed, written plan for disasters and emergencies.	Widespread	Minimal harm or potential for actual harm
09/15/2008	approved construction type or materials.	Pattern	Minimal harm or potential for actual harm
09/15/2008	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm
09/15/2008	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
09/15/2008	record of quarterly fire drills for each shift under varying conditions.	Pattern	Potential for minimal harm
09/15/2008	an approved automatic sprinkler system connected to the fire alarm system.	Pattern	Minimal harm or potential for actual harm
09/15/2008	restrictions on the use of highly flammable materials.	Isolated	Minimal harm or potential for actual harm
09/15/2008	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
09/12/2008	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
09/12/2008	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
09/12/2008	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
09/12/2008	Store, cook, and give out food in a safe and clean way.	Widespread	Immediate jeopardy to resident health or safety
09/12/2008	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
09/12/2008	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Widespread	Minimal harm or potential for actual harm
09/12/2008	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm

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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