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University Retirement Community At Davis
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1515 Shasta Drive
Davis, CA 95616
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | No |
| Certified Beds | 37 |
| 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: 01/31/2011
| Date of last standard health inspection: | 01/31/2011 |
| 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. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep sound levels comfortable. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Widespread |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
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| 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. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Pattern |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Isolated |
| Properly mark drugs and other similar products. | 01/31/2011 | 03/07/2011 | 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 |
| Develop/implement required procedures for the administration of immunizations. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Do an assessment of the resident every year. | 01/31/2011 | 03/07/2011 | 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. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| 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. | 01/31/2011 | 03/07/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 01/21/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 01/21/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
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. | 01/21/2010 | 03/01/2010 | 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. | 01/21/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
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. | 01/21/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/21/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| 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. | 01/21/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
| Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | 01/21/2010 | 03/01/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 01/22/2009
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Train all employees on what to do in an emergency. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep all essential equipment working safely. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
||||
| 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. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
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. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Provide food in a way that meets a resident's needs. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 01/22/2009 | 02/23/2009 | 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. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Properly mark drugs and other similar products. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
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. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | 01/22/2009 | 02/23/2009 | Minimal harm or potential for actual harm | Isolated |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/22/2009 | 02/23/2009 | 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 | 32 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 34 minutes | 1 hour 37 minutes |
|
RN Hours per Resident per Day |
40 minutes | 43 minutes | 1 hour 7 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 53 minutes | 30 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 37 minutes | 2 hours 39 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 | 4% |
| Percent of long-stay residents given influenza vaccination during the flu season | 79% |
| Percent of long-stay residents who are more depressed or anxious | 9% |
| Percent of long-stay residents who had a urinary tract infection | 9% |
| Percent of long-stay residents who have moderate to severe pain | 2% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 4% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 2% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 81% |
| Percent of long-stay residents who were physically restrained | 5% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 13% |
| Percent of long-stay residents whose need for help with daily activities has increased | 13% |
| Percent of low-risk long-stay residents who have pressure sores | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 58% |
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 | 82% |
| Percent of short-stay residents who had moderate to severe pain | 42% |
| Percent of short-stay residents who have delirium | 2% |
| Percent of short-stay residents who have pressure sores | 5% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 72% |
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: 02/03/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 02/03/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 11 |
| 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 |
| automatic sprinkler systems that have been maintained in working order. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Isolated |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Isolated |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 02/03/2011 | 02/24/2011 | 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. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Pattern |
| properly installed electrical wiring and equipment. | 02/03/2011 | 02/24/2011 | 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. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly maintained smoke detectors. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Pattern |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed hallway dispensers for alcohol-based hand rub. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Pattern |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Isolated |
| properly located and lighted "Exit" signs. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Pattern |
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. | 02/03/2011 | 02/24/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 01/28/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 01/28/2010 | 02/18/2010 | Minimal harm or potential for actual harm | Isolated |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper medical gas storage and administration areas. | 01/28/2010 | 02/18/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 02/10/2009
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 02/10/2009 | 03/18/2009 | Potential for minimal harm | Widespread |
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. | 02/10/2009 | 03/18/2009 | Potential for minimal harm | Widespread |
