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Mission De La Casa Nursing & Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 163
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: 09/12/2011

Date of last standard health inspection: 09/12/2011
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, 01/00/2011

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/00/2011 01/03/2012 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/06/2010

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. 02/06/2010 00/09/2012 2 Few
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 02/06/2010 00/09/2012 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 02/06/2010 00/09/2012 2 Few
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. 02/06/2010 00/09/2012 1 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/06/2010 00/09/2012 1 Some
Have a program that investigates, controls and keeps infection from spreading. 02/06/2010 00/09/2012 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. 02/06/2010 00/09/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/06/2010 00/09/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/06/2010 00/09/2012 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/06/2010 00/09/2012 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/06/2010 00/09/2012 2 Few
Provide care by qualified persons according to each resident's written plan of care. 02/06/2010 00/09/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2010 00/09/2012 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 02/06/2010 00/09/2012 2 Few
Ensure residents maintain acceptable nutritional status. 02/06/2010 00/09/2012 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. 02/06/2010 00/09/2012 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/06/2010 00/09/2012 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/06/2010 00/09/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/06/2010 00/09/2012 2 Few
Keep residents' personal and medical records private and confidential. 02/06/2010 00/09/2012 2 Few
Allow residents to easily view the results of the nursing home's most recent inspection. 02/06/2010 00/09/2012 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/06/2010 00/09/2012 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/06/2010 00/09/2012 2 Few

Inspection, 01/06/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/06/2010 00/00/0000 Some controls and keeps infection from spreading.

Inspection, 01/02/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire a qualified full-time social worker in a facility with more than 120 beds. 01/02/2009 00/03/2011 2 Few
Post nurse staffing information/data on a daily basis. 01/02/2009 00/03/2011 1 Some
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/02/2009 00/03/2011 2 Few
Quickly tell the resident's doctor the results of laboratory tests. 01/02/2009 00/03/2011 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2009 00/03/2011 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/02/2009 00/03/2011 2 Few
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. 01/02/2009 00/03/2011 2 Few
Provide housekeeping and maintenance services. 01/02/2009 00/03/2011 2 Few
Maintain comfortable sound levels. 01/02/2009 00/03/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2009 00/03/2011 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. 01/02/2009 00/03/2011 1 Some
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. 01/02/2009 00/03/2011 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/02/2009 00/03/2011 3 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. 01/02/2009 00/03/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2009 00/03/2011 2 Few
Resident Assessment Deficiencies
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. 01/02/2009 00/03/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 01/02/2009 00/03/2011 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/02/2009 00/03/2011 2 Few
Keep residents' personal and medical records private and confidential. 01/02/2009 00/03/2011 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/02/2009 00/03/2011 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/02/2009 00/03/2011 2 Few

Inspection, 01/06/2007

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. 01/06/2007 03/00/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/06/2007 03/00/2008 2 Some
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. 01/06/2007 03/00/2008 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. 01/06/2007 03/00/2008 2 Some
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. 01/06/2007 03/00/2008 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/06/2007 03/00/2008 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. 01/06/2007 03/00/2008 2 Some
Provide care by qualified persons according to each resident's written plan of care. 01/06/2007 03/00/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/06/2007 03/00/2008 2 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 01/06/2007 03/00/2008 2 Few
Resident Assessment Deficiencies
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. 01/06/2007 03/00/2008 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. 01/06/2007 03/00/2008 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/06/2007 03/00/2008 2 Few

Inspection, 02/05/2006

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide written records when a resident is transferred or discharged. 02/05/2006 00/00/0000 2 Few
Provide timely notification to the resident before transfer or discharge. 02/05/2006 00/00/0000 2 Few
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 02/05/2006 00/00/0000 2 Few
Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. 02/05/2006 00/00/0000 2 Few

Inspection, 00/04/2001

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. 00/04/2001 00/00/0000 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. 00/04/2001 00/00/0000 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. 00/04/2001 00/00/0000 2 Few
Develop a complete care plan that meets all the resident's needs 00/04/2001 00/00/0000 Few with timetables and actions that can be measured.

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 81 148
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 7 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 42 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 25 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 28 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: 09/14/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/14/2011
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, 02/07/2010

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/07/2010 00/03/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/07/2010 00/03/2012 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/07/2010 00/03/2012 2 Some
Properly installed electrical wiring and equipment. 02/07/2010 00/03/2012 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of highly flammable decorations. 02/07/2010 00/03/2012 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed hallway dispensers for alcohol-based hand rub. 02/07/2010 00/03/2012 2 Few
Smoke Compartmentation and Control Deficiencies
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. 02/07/2010 00/03/2012 2 Some

Inspection, 01/04/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A complete sprinkler system with alarm system connection. 01/04/2009 01/08/2010 2 Few
Portable fire extinguishers. 01/04/2009 01/08/2010 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/04/2009 01/08/2010 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/04/2009 01/08/2010 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/04/2009 01/08/2010 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. 01/04/2009 01/08/2010 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/04/2009 01/08/2010 2 Few
Smoke Compartmentation and Control Deficiencies
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. 01/04/2009 01/08/2010 2 Many
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/04/2009 01/08/2010 2 Few

Inspection, 02/05/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/05/2007 02/08/2008 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/05/2007 02/08/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/05/2007 02/08/2008 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. 02/05/2007 02/08/2008 2 Few
Properly maintained smoke detectors. 02/05/2007 02/08/2008 1 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/05/2007 02/08/2008 2 Few
 

2501 Alvin Avenue
San Jose, CA 95121

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