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Carmichael Care & Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 126
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: 04/14/2011

Date of last standard health inspection: 04/14/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 5
Average number of Health Deficiencies in CA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in CA: 0 - 16
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 01/02/2012 00/04/2001 comfortable and home-like environment; and allow r clean
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 01/02/2012 00/04/2001 and serve food in a safe and clean way. cook
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. 01/02/2012 00/04/2001 2 Some
Assist those residents who need help with eating/drinking 01/02/2012 00/04/2001 Few grooming and personal and oral hygiene.
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. 01/02/2012 00/04/2001 2 Few

Inspection, 02/08/2011

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. 02/08/2011 01/08/2012 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. 02/08/2011 01/08/2012 2 Few
Develop a complete care plan that meets all the resident's needs 02/08/2011 01/08/2012 Few with timetables and actions that can be measured.

Inspection, 02/01/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 02/01/2011 01/08/2012 Few unless needed for medical treatment.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/01/2011 01/08/2012 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/01/2011 01/08/2012 2 Some

Inspection, 01/06/2011

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. 01/06/2011 02/00/2011 2 Few

Inspection, 00/07/2011

Environmental Deficiencies
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. 00/07/2011 01/04/2011 2 Few

Inspection, 02/06/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/06/2010 02/00/2011 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/06/2010 02/00/2011 3 Few

Inspection, 02/05/2010

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. 02/05/2010 00/06/2011 2 Few

Inspection, 02/08/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 02/08/2009 02/03/2010 and involuntary separation from others. physical punishment
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/08/2009 02/03/2010 investigation identification
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/08/2009 02/03/2010 2 Some

Inspection, 01/03/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/03/2009 02/05/2010 Few complete and organized clinical records on each re
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. 01/03/2009 01/09/2010 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/03/2009 01/09/2010 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2009

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2009 02/06/2009 2 Few

Inspection, 00/08/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/08/2008 03/01/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/08/2008 03/01/2008 2 Few

Inspection, 01/02/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/02/2007 00/02/2008 Few complete and organized clinical records on each re

Inspection, 01/04/2006

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. 01/04/2006 02/07/2007 2 Some
Provide housekeeping and maintenance services. 01/04/2006 02/07/2007 2 Some
Maintain comfortable sound levels. 01/04/2006 02/07/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2006 02/07/2007 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/04/2006 02/07/2007 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide special eating equipment and utensils for each resident who needs them. 01/04/2006 02/07/2007 2 Few
Store, cook, and serve food in a safe and clean way. 01/04/2006 02/07/2007 2 Few
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. 01/04/2006 02/07/2007 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2006 02/07/2007 2 Some
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. 01/04/2006 02/07/2007 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/04/2006 02/07/2007 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/04/2006 02/07/2007 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2006 02/07/2007 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/04/2006 02/07/2007 2 Few
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. 01/04/2006 02/07/2007 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/04/2006 02/07/2007 2 Some
Assist those residents who need help with eating/drinking 01/04/2006 02/07/2007 Some grooming and personal and oral hygiene.
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. 01/04/2006 02/07/2007 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/04/2006 02/07/2007 1 Many
Keep residents' personal and medical records private and confidential. 01/04/2006 02/07/2007 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 01/04/2006 02/07/2007 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2006 02/07/2007 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/04/2006 02/07/2007 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/04/2006 02/07/2007 2 Few

Inspection, 00/08/2006

Environmental Deficiencies
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. 00/08/2006 03/00/2005 2 Few

Inspection, 01/06/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/06/2005 02/09/2005 Few complete and organized clinical records on each re
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 01/06/2005 02/09/2005 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/06/2005 02/09/2005 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. 01/06/2005 02/09/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 01/06/2005 02/09/2005 2 Few
Develop a complete care plan that meets all the resident's needs 01/06/2005 02/09/2005 Few with timetables and actions that can be measured.

Inspection, 00/03/2005

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/03/2005 02/09/2005 2 Few

Inspection, 01/04/2004

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. 01/04/2004 01/07/2005 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide clean bed and bath linens that are in good condition. 01/04/2004 01/07/2005 1 Many
Maintain comfortable sound levels. 01/04/2004 01/07/2005 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2004 01/07/2005 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/04/2004 01/07/2005 2 Some
Keep all essential equipment working safely. 01/04/2004 01/07/2005 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/04/2004 01/07/2005 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/04/2004 01/07/2005 2 Some
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. 01/04/2004 01/07/2005 2 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. 01/04/2004 01/07/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2004 01/07/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/04/2004 01/07/2005 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assess in a timely manner the resident when the resident enters the nursing home. 01/04/2004 01/07/2005 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/04/2004 01/07/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 01/04/2004 01/07/2005 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/04/2004 01/07/2005 2 Few

Inspection, 01/02/2004

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. 01/02/2004 02/07/2004 2 Some
Assist those residents who need help with eating/drinking 01/02/2004 02/07/2004 Some grooming and personal and oral hygiene.

Inspection, 00/08/2004

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/08/2004 00/03/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/08/2004 00/03/2005 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/08/2004 00/03/2005 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/08/2004 00/03/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/08/2004 00/03/2005 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 4 out of 5 stars
Total Number of Residents 86 81 86
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 37 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 37 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 1 minute

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: 04/20/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/20/2011
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, 02/02/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/02/2006 01/08/2007 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/02/2006 01/08/2007 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/02/2006 01/08/2007 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/02/2006 01/08/2007 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/02/2006 01/08/2007 1 Many
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. 02/02/2006 01/08/2007 2 Some
Hazardous Area Deficiencies
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. 02/02/2006 01/08/2007 2 Few

Inspection, 02/00/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 02/00/2004 00/08/2006 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/00/2004 01/02/2005 2 Few
Approved construction type or materials. 02/00/2004 00/08/2006 2 Some
Building Service Equipment Deficiencies
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. 02/00/2004 01/02/2005 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/00/2004 01/02/2005 2 Few
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/00/2004 00/08/2006 2 Few
Corridor and hallway doors that block smoke. 02/00/2004 00/08/2006 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/00/2004 01/02/2005 2 Some
Weekly inspections and monthly testing of generators. 02/00/2004 00/08/2006 2 Some
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. 02/00/2004 00/08/2006 2 Some
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. 02/00/2004 01/02/2005 2 Few
An approved installation, maintenance and testing program for fire alarm systems. 02/00/2004 00/08/2006 2 Few
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. 02/00/2004 00/08/2006 2 Few
Restrictions on the use of flammable curtains. 02/00/2004 00/08/2006 2 Few
Hazardous Area Deficiencies
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. 02/00/2004 01/02/2005 2 Few
Properly installed hallway dispensers for alcohol-based hand rub. 02/00/2004 01/02/2005 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/00/2004 00/08/2006 2 Few
Properly located and lighted Exit" signs." 02/00/2004 00/08/2006 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/00/2004 01/02/2005 2 Few
Proper medical gas storage and administration areas. 02/00/2004 00/08/2006 2 Some
No-smoking signs where oxygen is used. 02/00/2004 00/08/2006 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/00/2004 01/02/2005 2 Few
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/00/2004 00/08/2006 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/00/2004 00/08/2006 2 Few
 

8336 Fair Oaks Boulevard
Carmichael, CA 95608

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