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California Pacific Medical Ctr - St. Luke's Campus

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 79
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: 12/09/2011

Date of last standard health inspection: 12/09/2011
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, 02/01/2012

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. 02/01/2012 02/03/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide bedrooms that hold no more than 4 residents per room. 02/01/2012 00/00/0000 1 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/01/2012 02/03/2001 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/01/2012 02/03/2001 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. 02/01/2012 02/03/2001 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. 02/01/2012 02/03/2001 2 Few

Inspection, 00/09/2012

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. 00/09/2012 01/03/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/09/2012 01/03/2002 2 Few
Keep all essential equipment working safely. 00/09/2012 01/03/2002 2 Some
Provide bedrooms that hold no more than 4 residents per room. 00/09/2012 01/03/2002 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/09/2012 01/03/2002 2 Few
Keep each resident free from drugs that restrain them, unless needed for medical treatment. 00/09/2012 01/03/2002 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. 00/09/2012 01/03/2002 2 Few
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. 00/09/2012 01/03/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/09/2012 01/03/2002 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/09/2012 01/03/2002 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. 00/09/2012 01/03/2002 2 Few
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. 00/09/2012 01/03/2002 2 Few

Inspection, 02/08/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/08/2010 00/03/2001 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/08/2010 00/03/2001 2 Few
Provide bedrooms that hold no more than 4 residents per room. 02/08/2010 00/03/2001 1 Some
Provide a bathroom in or located near each resident 02/08/2010 00/03/2001 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/08/2010 00/03/2001 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 02/08/2010 00/03/2001 2 Few
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. 02/08/2010 00/03/2001 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2010 00/03/2001 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/08/2010 00/03/2001 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. 02/08/2010 00/03/2001 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. 02/08/2010 00/03/2001 2 Few
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. 02/08/2010 00/03/2001 2 Few
Provide resident groups or resident family groups with private space to meet. 02/08/2010 00/03/2001 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 55
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 4 hours 19 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 2 hours 16 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 2 hours 3 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 1 hour 44 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: 12/13/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/13/2011
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, 01/03/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/03/2012 01/07/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/03/2012 01/07/2001 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. 01/03/2012 01/07/2001 2 Some

Inspection, 00/01/2011

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/01/2011 00/03/2012 1 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. 00/01/2011 00/03/2012 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. 00/01/2011 00/03/2012 2 Some

Inspection, 00/02/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/02/2001 03/00/2001 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/02/2001 03/00/2001 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2001 03/00/2001 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/02/2001 03/00/2001 2 Few
 

3555 Cesar Chavez Street
San Francisco, CA 94110

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