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Pacific Grove Convalescent Hospital
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200 Lighthouse Avenue
Pacific Grove, CA 93950
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Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 51 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| 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: 03/08/2011
| Date of last standard health inspection: | 03/08/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 17 |
| 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 |
| post nurse staffing information. | 03/08/2011 | 04/08/2011 | Potential for minimal harm | Pattern |
| Train all employees on what to do in an emergency. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Pattern |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Pattern |
| Provide rooms that are big enough for each resident. | 03/08/2011 | 04/08/2011 | Potential for minimal harm | Widespread |
| 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. | 03/08/2011 | 04/08/2011 | Potential for minimal harm | Widespread |
| Have enough backup water supply for important areas of the nursing home. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 03/08/2011 | 04/08/2011 | 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 |
| Hire enough skilled workers to carry out dietary service. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Widespread |
| Make sure that residents are well nourished. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Isolated |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Pattern |
| Offer other nutritional food to each resident who will not eat the food served. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Pattern |
| Give each resident care and services to get or keep the highest quality of life possible. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident gets help to keep vision and hearing. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Isolated |
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. | 03/08/2011 | 04/08/2011 | 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. | 03/08/2011 | 04/08/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 03/03/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Train all employees on what to do in an emergency. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program to keep infection from spreading. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Widespread |
| Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide rooms that are big enough for each resident. | 03/03/2010 | 03/23/2010 | Potential for minimal harm | Pattern |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are well nourished. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Widespread |
| Make sure that the attending doctor orders special diets. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
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| 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. | 03/03/2010 | 03/23/2010 | 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. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 03/03/2010 | 03/23/2010 | 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. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 03/03/2010 | 03/23/2010 | 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. | 03/03/2010 | 03/23/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 02/24/2009
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep safe, clean and homelike surroundings. | 02/24/2009 | 03/30/2009 | Potential for minimal harm | Pattern |
| Provide rooms that are big enough for each resident. | 02/24/2009 | 03/30/2009 | Potential for minimal harm | Pattern |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 02/24/2009 | 03/30/2009 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly mark drugs and other similar products. | 02/24/2009 | 03/30/2009 | 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 meet a professional standard of quality. | 02/24/2009 | 03/30/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 02/24/2009 | 03/30/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 02/24/2009 | 03/30/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 02/24/2009 | 03/30/2009 | Minimal harm or potential for actual harm | Isolated |
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 | 80 | 40 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 34 minutes | 2 hours 43 minutes |
|
RN Hours per Resident per Day |
40 minutes | 43 minutes | 1 hour 45 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | 57 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 37 minutes | 4 hours 21 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 | 14% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 10% |
| Percent of long-stay residents who had a urinary tract infection | 11% |
| Percent of long-stay residents who have moderate to severe pain | 3% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 6% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 0% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 3% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 5% |
| Percent of long-stay residents whose need for help with daily activities has increased | 11% |
| Percent of low-risk long-stay residents who have pressure sores | Not Available |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 67% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 7% |
| Percent of short-stay residents given influenza vaccination during the flu season | 89% |
| Percent of short-stay residents who had moderate to severe pain | 24% |
| Percent of short-stay residents who have delirium | 1% |
| Percent of short-stay residents who have pressure sores | 34% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 88% |
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: 03/09/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 03/09/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 6 |
| 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 |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly working alarms on sprinkler valves. | 03/09/2011 | 04/13/2011 | Minimal harm or potential for actual harm | Widespread |
| automatic sprinkler systems that have been maintained in working order. | 03/09/2011 | 04/13/2011 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 03/09/2011 | 04/13/2011 | 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. | 03/09/2011 | 04/13/2011 | 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. | 03/09/2011 | 04/13/2011 | Minimal harm or potential for actual harm | Isolated |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 03/09/2011 | 04/13/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 03/26/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 03/26/2010 | 04/13/2010 | Minimal harm or potential for actual harm | Pattern |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 03/26/2010 | 04/13/2010 | Minimal harm or potential for actual harm | Pattern |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 03/26/2010 | 04/13/2010 | Minimal harm or potential for actual harm | Pattern |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 03/26/2010 | 04/13/2010 | Minimal harm or potential for actual harm | Pattern |
| properly installed electrical wiring and equipment. | 03/26/2010 | 04/13/2010 | 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. | 03/26/2010 | 04/13/2010 | Minimal harm or potential for actual harm | Widespread |
| properly maintained smoke detectors. | 03/26/2010 | 04/13/2010 | Minimal harm or potential for actual harm | Widespread |
Inspection, 03/03/2009
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. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
| properly working alarms on sprinkler valves. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Pattern |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 03/03/2009 | 03/23/2009 | 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. | 03/03/2009 | 03/23/2009 | 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. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
| properly maintained smoke detectors. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
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. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed hallway dispensers for alcohol-based hand rub. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 03/03/2009 | 03/23/2009 | Minimal harm or potential for actual harm | Isolated |
