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Memorial Hosp Of Gardena D P S

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 69
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: 04/27/2011

Date of last standard health inspection: 04/27/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in CA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in CA: 0 - 16

Inspection, 00/07/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/07/2007 00/09/2008 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/07/2007 00/09/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/07/2007 00/09/2008 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/07/2007 00/09/2008 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/07/2007 00/09/2008 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/07/2007 00/09/2008 2 Few
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. 00/07/2007 00/09/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2007 00/09/2008 1 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 00/07/2007 00/09/2008 1 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/07/2007 00/09/2008 1 Some
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 00/07/2007 00/09/2008 1 Some

Inspection, 02/07/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 02/07/2004 01/08/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2004 01/08/2007 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/07/2004 01/08/2007 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with 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. 02/07/2004 01/08/2007 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/07/2004 01/08/2007 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/07/2004 01/08/2007 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/07/2004 01/08/2007 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/07/2004 01/08/2007 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2004 01/08/2007 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/07/2004 01/08/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/07/2004 01/08/2007 2 Some
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. 02/07/2004 01/08/2007 2 Few
Ensure residents maintain acceptable nutritional status. 02/07/2004 01/08/2007 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/07/2004 01/08/2007 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/07/2004 01/08/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for each resident in a way that maintains or improves their quality of life. 02/07/2004 01/08/2007 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/07/2004 01/08/2007 2 Some

Inspection, 01/05/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2004 00/04/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/05/2004 00/04/2006 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2004 00/04/2006 2 Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. 01/05/2004 00/04/2006 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/05/2004 00/04/2006 1 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/05/2004 00/04/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2004 00/04/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2004 00/04/2006 2 Few
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. 01/05/2004 00/04/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/05/2004 00/04/2006 2 Few

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 5 out of 5 stars
Total Number of Residents 86 81 58
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 4 hours 40 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 2 hours 1 minute
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 2 hours 38 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 3 hours 14 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

Short-Term Residents

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: 05/16/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/16/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in CA: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in CA: 0 - 5

Inspection, 00/07/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/07/2007 01/00/2008 2 Few
A complete sprinkler system with alarm system connection. 00/07/2007 01/00/2008 2 Few
Portable fire extinguishers. 00/07/2007 01/00/2008 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2007 01/00/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper power supply for life support equipment. 00/07/2007 01/00/2008 2 Few
Properly installed electrical wiring and equipment. 00/07/2007 01/00/2008 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/07/2007 01/00/2008 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors or aisles that are unobstructed and are at least 8 feet in width. 00/07/2007 01/00/2008 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 00/07/2007 01/00/2008 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/07/2007 01/00/2008 2 Few

Inspection, 01/06/2005

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/06/2005 01/05/2007 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/06/2005 01/05/2007 2 Some
 

1145 W. Redondo Beach
Gardena, CA 90247

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