San Gerardo Hospital

Total Number of Beds: 100	Percent of Occupied Beds: 34%
Total Number of Residents: 34	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 02/09/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.11

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.28

Number of CNA Hours per Nursing Home Resident per Day: 0

Number of Staff Hours per Nursing Home Resident per Day: 4.39

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 48%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 1%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 2/9/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-22	2001-08-06	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2001-05-22	2001-08-06	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Actual harm
2001-05-22	2001-08-06	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Pattern	Actual harm
2001-05-22	2001-08-06	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Pattern	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	Isolated	Minimal harm or potential for actual harm
2001-05-22	2001-08-06	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-25	Resident Rights Deficiencies	Have a private telephone available for use.	Isolated	Minimal harm or potential for actual harm
2002-03-06	2002-04-29	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2002-03-06	2002-04-30	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-25	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
2002-03-06	2002-04-25	Environmental Deficiencies	Keep adequate and comfortable lighting in all areas.	Pattern	Potential for minimal harm
2002-03-06	2002-04-25	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
2002-03-06	2002-04-26	Resident Assessment Deficiencies	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
2002-03-06	2002-04-29	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-05-01	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-29	Quality Care Deficiencies	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
2002-03-06	2002-04-01	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-25	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-25	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2002-03-06	2002-04-26	Pharmacy Service Deficiencies	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
2002-03-06	2002-04-26	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-26	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-04-23	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2002-03-06	2002-04-17	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Potential for minimal harm
2002-03-06	2002-03-21	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Minimal harm or potential for actual harm
2002-03-06	2002-06-30	Environmental Deficiencies	Keep all essential equipment working safely.	Pattern	Potential for minimal harm
2002-03-06	2002-06-30	Environmental Deficiencies	Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) an adequate bed; 4) furniture that meets the resident's needs; or 5) enough closet space.	Pattern	Potential for minimal harm
2003-02-09	2003-04-09	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-30	Resident Rights Deficiencies	Let residents complain without being treated differently or badly.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Resident Rights Deficiencies	Have a private telephone available for use.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Pattern	Potential for minimal harm
2003-02-09	2003-04-09	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-30	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-30	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Environmental Deficiencies	Keep adequate and comfortable lighting in all areas.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-30	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-30	Quality Care Deficiencies	Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Isolated	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Quality Care Deficiencies	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Nutrition and Dietary Deficiencies	Hire a qualified dietician.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	Isolated	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Pattern	Potential for minimal harm
2003-02-09	2003-04-09	Pharmacy Service Deficiencies	Use the services of a licensed pharmacist.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Environmental Deficiencies	Keep all essential equipment working safely.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Environmental Deficiencies	Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) an adequate bed; 4) furniture that meets the resident's needs; or 5) enough closet space.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Environmental Deficiencies	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Pattern	Minimal harm or potential for actual harm
2003-02-09	2003-04-30	Environmental Deficiencies	Have enough backup water supply for important areas of the nursing home.	Widespread	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Administration Deficiencies	Obtain a license from the State and local government.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Administration Deficiencies	Follow all laws and professional standards.	Widespread	Potential for minimal harm
2003-02-09	2003-04-09	Administration Deficiencies	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Widespread	Potential for minimal harm
2003-02-09	2003-04-30	Administration Deficiencies	Have licensed, certified, or registered staff to give needed services.	Isolated	Minimal harm or potential for actual harm
2003-02-09	2003-04-09	Administration Deficiencies	Choose a doctor to be the medical director.	Widespread	Potential for minimal harm

*** All violations listed are based on federal government records.