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Dept Of State Hospitals - Metropolitan Snf

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About Dept Of State Hospitals - Metropolitan Snf

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeGovernment - State
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 13, 1998 (18 years)
Capacity102
Residents61
Percent Occupied60%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Dept Of State Hospitals - Metropolitan Snf

Dept Of State Hospitals - Metropolitan Snf
was reviewed by Medicare to have a rating of 3 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

August 26, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
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.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

August 14, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 6 days
---Fine$9,100 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure 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.

June 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop 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.

March 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop 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.

March 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.
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.

February 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,265 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

January 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop 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.

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential 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.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

August 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDispose of garbage and refuse properly.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
ESomePotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
ESomePotential for HarmHealth InspectionHire sufficient dietary support personnel.
ESomePotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
CManyPotential for Minimal HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

April 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

April 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

March 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

March 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

January 21, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

September 27, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 77 days
---Fine$5,500 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Dept Of State Hospitals - Metropolitan Snf 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.

55min
2hr 5min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
1hr 60min
55min
ReportedExpected
RN
3hr 45min
3hr 35min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

94.7%
93.4%
93.4%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
94.7%
94.7%
94.4%
94.6%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
45.0%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
13.5%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
11.1%
3.9%
8.3%
11.3%
Q1 2015Q2 2015Q3 2015CA
Need for Help with ADLs has Increased
4.8%
2.3%
2.1%
5.2%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
5.3%
10.5%
7.4%
6.2%
Q1 2015Q2 2015Q3 2015CA
Lose Too Much Weight
-
-
-
6.1%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Have Depressive Symptoms
0.0%
1.8%
1.9%
3.8%
Q1 2015Q2 2015Q3 2015CA
With a Urinary Tract Infection
5.3%
5.3%
5.6%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
4.7%
3.4%
3.5%
3.2%
Q1 2015Q2 2015Q3 2015CA
With a Catheter Inserted and Left in Their Bladder
26.3%
22.8%
29.6%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
81.7%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
81.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
12.7%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.6%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
0.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened