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CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF Inspection Report, Violations & Safety Grade (CAMPBELL, California)

3777 SOUTH BASCOM AVENUE, CAMPBELL, California 95008

Phone: 4085583640

CMS Overall:5/5

Overview & Bed Count

Certified Beds
27
Avg Residents/Day
24.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Santa Clara
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
StaffingN/A
Quality5/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.000.68-0.68
Total Nurse Hours per Resident per Day0.004.54-4.54
CMS Staffing RatingN/A3.3/5-
Nursing Staff TurnoverN/A36.6%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2024-10-10Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-07-26Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2024-07-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-07-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-07-26Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2024-07-26Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2022-07-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2022-07-08Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-07-08Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2019-10-31Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2019-10-31Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2019-10-31Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2019-10-31Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2019-10-31Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2019-10-31Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2019-10-31Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2024-07-26Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-07-26Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2024-07-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-07-26Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2024-07-26Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-07-26Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-07-26Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential
2024-07-26Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2022-07-08Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2022-07-08Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2022-07-08Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2019-10-31Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.E – Moderate Harm Potential
2019-10-31Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.E – Moderate Harm Potential
2019-10-31Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.E – Moderate Harm Potential
2019-10-31Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.E – Moderate Harm Potential
2019-10-31Emergency Preparedness DeficienciesProvide family notifications of emergency plan.E – Moderate Harm Potential
2019-10-31Emergency Preparedness DeficienciesConduct testing and exercise requirements.E – Moderate Harm Potential
2019-10-31Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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