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A & C Convalescent Hospital Of Millbrae

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About A & C Convalescent Hospital Of Millbrae

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 24, 1969 ()
Capacity140
Residents125
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for A & C Convalescent Hospital Of Millbrae

A & C Convalescent Hospital Of Millbrae
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 27, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

April 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionBe licensed under State and local laws.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide bedrooms that hold no more than 4 residents per room.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionGive 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.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionExit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

March 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionDevelop 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.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
CManyPotential for Minimal HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionBe licensed under State and local laws.
DFewPotential for HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of A & C Convalescent Hospital Of Millbrae require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr 35min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
45min
55min
ReportedExpected
RN
4hr 5min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.0%
93.1%
93.1%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.7%
97.5%
97.1%
94.6%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
22.9%
28.2%
36.1%
45.0%
Q1 2015Q2 2015Q3 2015CA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
4.4%
0.0%
1.0%
13.5%
Q1 2015Q2 2015Q3 2015CA
Received an Antipsychotic Medication
7.8%
7.7%
22.2%
11.3%
Q1 2015Q2 2015Q3 2015CA
Need for Help with ADLs has Increased
5.1%
2.0%
2.3%
5.2%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
5.9%
4.2%
7.6%
6.2%
Q1 2015Q2 2015Q3 2015CA
Lose Too Much Weight
2.9%
2.0%
2.3%
6.1%
Q1 2015Q2 2015Q3 2015CA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
1.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Have Depressive Symptoms
1.7%
6.7%
5.7%
3.8%
Q1 2015Q2 2015Q3 2015CA
With a Urinary Tract Infection
0.8%
0.8%
1.9%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
3.1%
2.6%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015CA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

85.7%
81.8%
85.1%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
79.7%
75.9%
75.9%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
15.2%
11.8%
19.4%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
2.2%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.8%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened