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Modoc Medical Center D/p Snf
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228 W Mc Dowell St.
Alturas, CA 96101
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Details
| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 59 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 04/22/2011
| Date of last standard health inspection: | 04/22/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 11 |
| Average number of Health Deficiencies in CA: | 10 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in CA: | 0 - 49 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Isolated |
| Have a detailed, written plan for disasters and emergencies. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Pattern |
| Train all employees on what to do in an emergency. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Pattern |
| Set up or keep a group of people to review and ensure quality. | 04/22/2011 | 06/02/2011 | Potential for minimal harm | Pattern |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep sound levels comfortable. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 04/22/2011 | 06/02/2011 | Potential for minimal harm | Pattern |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 04/22/2011 | 06/02/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 06/29/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 06/29/2010 | 08/03/2010 | Potential for minimal harm | Widespread |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| 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. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are well nourished. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Pattern |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Widespread |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Widespread |
| Properly mark drugs and other similar products. | 06/29/2010 | 08/03/2010 | Potential for minimal harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| 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. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 06/29/2010 | 08/03/2010 | Potential for minimal harm | Pattern |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Let residents give themselves their drugs if they are able. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide services to meet the needs and preferences of each resident. | 06/29/2010 | 08/03/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 06/30/2009
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Train all employees on what to do in an emergency. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Isolated |
| Keep sound levels comfortable. | 06/30/2009 | 08/20/2009 | Potential for minimal harm | Pattern |
| Have a program to keep infection from spreading. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Pattern |
| Keep all essential equipment working safely. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Widespread |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that follow each resident's written care plan. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that each resident's nutritional needs were met. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Isolated |
| Develop/implement required procedures for the administration of immunizations. | 06/30/2009 | 08/20/2009 | Potential for minimal harm | Pattern |
| Use a registered nurse at least 8 hours a day, 7 days a week. | 06/30/2009 | 08/20/2009 | Potential for minimal harm | Widespread |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 06/30/2009 | 08/20/2009 | Potential for minimal harm | Pattern |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 06/30/2009 | 08/20/2009 | Potential for minimal harm | Pattern |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 06/30/2009 | 08/20/2009 | Minimal harm or potential for actual harm | Pattern |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in CA | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 86 | 80 | 46 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 34 minutes | 1 hour 28 minutes |
|
RN Hours per Resident per Day |
40 minutes | 43 minutes | 28 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | 1 hour |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 37 minutes | 3 hours 16 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 20% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 13% |
| Percent of long-stay residents who had a urinary tract infection | 6% |
| Percent of long-stay residents who have moderate to severe pain | 21% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 13% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 7% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 11% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% |
| Percent of long-stay residents whose need for help with daily activities has increased | 15% |
| Percent of low-risk long-stay residents who have pressure sores | 4% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 50% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 5% |
| Percent of short-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of short-stay residents who had moderate to severe pain | Not Available |
| Percent of short-stay residents who have delirium | Not Available |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | Not Available |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 04/27/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 04/27/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 7 |
| Average number of Fire Safety Deficiencies in CA: | 5 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in CA: | 0 - 20 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Pattern |
| properly working sprinkler alarm system. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Widespread |
| portable fire extinguishers. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Widespread |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| restrictions on the use of highly flammable materials. | 04/27/2011 | 05/18/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 07/13/2010
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 07/13/2010 | 08/04/2010 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 07/13/2010 | 08/04/2010 | Minimal harm or potential for actual harm | Pattern |
| properly installed electrical wiring and equipment. | 07/13/2010 | 08/04/2010 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| did not have a written emergency evacuation plan. | 07/13/2010 | 08/04/2010 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 07/13/2010 | 08/04/2010 | Minimal harm or potential for actual harm | Isolated |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly located and lighted "Exit" signs. | 07/13/2010 | 08/04/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/01/2009
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Pattern |
| properly installed electrical wiring and equipment. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Pattern |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 07/01/2009 | 07/21/2009 | Potential for minimal harm | Widespread |
| properly maintained smoke detectors. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Isolated |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Isolated |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed hallway dispensers for alcohol-based hand rub. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Isolated |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 07/01/2009 | 07/21/2009 | Minimal harm or potential for actual harm | Isolated |
