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California Pacific Medical Ctr - St. Luke's Campus

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About California Pacific Medical Ctr - St. Luke's Campus

General Information

Legal Business NameSutter West Bay Hospitals
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 13, 1986 (31 years)
Capacity79
Residents40
Percent Occupied51%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for California Pacific Medical Ctr - St. Luke's Campus

California Pacific Medical Ctr - St. Luke's Campus
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

September 25, 2015 - 15 months 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.

December 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

December 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
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 InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

December 23, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

December 20, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
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.
DFewPotential for HarmHealth InspectionMake sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
BSomePotential for Minimal HarmHealth InspectionProvide bedrooms that hold no more than 4 residents per room.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of California Pacific Medical Ctr - St. Luke's Campus 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 55min
2hr 50min
ReportedExpected
CNA
2hr 10min
1hr 25min
ReportedExpected
LPN
2hr 50min
2hr
ReportedExpected
RN
7hr 60min
6hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
100.0%
100.0%
94.9%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
100.0%
94.6%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
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
-
-
12.1%
13.5%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
11.3%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
5.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
15.2%
6.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
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
-
-
-
1.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
24.2%
3.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
0.0%
1.7%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
23.8%
3.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
9.1%
1.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

91.0%
89.0%
80.5%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
93.2%
93.2%
93.2%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.8%
21.1%
24.6%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
2.6%
3.6%
2.3%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.7%
1.1%
0.5%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened