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625 16th Street
Lakeport, CA 95453
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 90 |
| 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
| Date of last standard health inspection: | 05/19/2011 |
| 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 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/01/2006 | 01/05/2008 | 2 | Few |
Environmental Deficiencies |
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| 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. | 02/01/2006 | 01/05/2008 | 2 | Few |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/01/2006 | 01/05/2008 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Hire a qualified dietician. | 02/01/2006 | 01/05/2008 | 2 | Some |
| Hire sufficient dietary support personnel. | 02/01/2006 | 01/05/2008 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 02/01/2006 | 01/05/2008 | 2 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain 15 months of resident assessments in the resident's active clinical record. | 02/01/2006 | 01/05/2008 | 2 | Many |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/01/2006 | 01/05/2008 | 2 | Some |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | 01/09/2005 | 02/01/2006 | 2 | Many |
Environmental Deficiencies |
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| 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. | 01/09/2005 | 02/01/2006 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/09/2005 | 02/01/2006 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 01/09/2005 | 02/01/2006 | 2 | Some |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 01/09/2005 | 02/01/2006 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Hire sufficient dietary support personnel. | 01/09/2005 | 02/01/2006 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 01/09/2005 | 02/01/2006 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/09/2005 | 02/01/2006 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/09/2005 | 02/01/2006 | 2 | Some |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 01/09/2005 | 02/01/2006 | 2 | Some |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 02/09/2003 | 00/04/2006 | 2 | Few |
Environmental Deficiencies |
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| 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. | 02/09/2003 | 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. | 02/09/2003 | 00/04/2006 | 2 | Few |
Pharmacy Service Deficiencies |
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| 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. | 02/09/2003 | 00/04/2006 | 4 | Few |
Quality Care Deficiencies |
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| 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. | 02/09/2003 | 00/04/2006 | 2 | Few |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 02/09/2003 | 00/04/2006 | 2 | Few |
Resident Assessment Deficiencies |
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| 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. | 02/09/2003 | 00/04/2006 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are fully informed and understand their health status, care and treatments. | 02/09/2003 | 00/04/2006 | 2 | Some |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/09/2003 | 00/04/2006 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/00/2003 | 02/01/2004 | 3 | Few |
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 | 85 | 81 | 67 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 27 hours 2 minutes | 1 hour 18 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 26 hours 11 minutes | 32 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 27 hours 15 minutes | 45 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 28 hours 8 minutes | 2 hours 36 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.
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.
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.
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 06/07/2011 |
| 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 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/08/2006 | 02/03/2007 | 2 | Few |
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. | 02/08/2006 | 02/03/2007 | 2 | Some |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 00/07/2006 | 03/00/2006 | 2 | Some |
| Portable fire extinguishers. | 00/07/2006 | 03/00/2006 | 2 | Few |
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. | 00/07/2006 | 03/00/2006 | 2 | Few |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 00/07/2006 | 03/00/2006 | 2 | Many |
| Properly installed electrical wiring and equipment. | 00/07/2006 | 03/00/2006 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 00/07/2006 | 03/00/2006 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 00/07/2006 | 03/00/2006 | 2 | Few |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 00/08/2004 | 03/00/2004 | 2 | Some |
| Portable fire extinguishers. | 00/08/2004 | 03/00/2004 | 2 | Some |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 00/08/2004 | 03/00/2004 | 2 | Some |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 00/08/2004 | 03/00/2004 | 1 | Many |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/08/2004 | 03/00/2004 | 2 | Many |
| Signs that state that exit doors are to be kept closed. | 00/08/2004 | 03/00/2004 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/08/2004 | 03/00/2004 | 2 | Some |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 00/08/2004 | 03/00/2004 | 2 | Few |
| Record of quarterly fire drills for each shift under varying conditions. | 00/08/2004 | 03/00/2004 | 2 | Few |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 00/08/2004 | 03/00/2004 | 2 | Few |
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. | 00/08/2004 | 03/00/2004 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 00/08/2004 | 03/00/2004 | 2 | Many |