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N M Holderman Memorial Hospital - Snf

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About N M Holderman Memorial Hospital - Snf

General Information

Legal Business NameVeterans Home Of California
Ownership TypeGovernment - State
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 1, 1978 (38 years)
Capacity321
Residents321
Percent Occupied100%
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 N M Holderman Memorial Hospital - Snf

N M Holderman Memorial Hospital - 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 27, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

March 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionProperly constructed piped-in oxygen systems.
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 InspectionProperly installed electrical wiring and equipment.
CManyPotential for Minimal HarmFire Safety InspectionPortable fire extinguishers.
CManyPotential for Minimal HarmFire Safety InspectionProperly maintained smoke detectors.
DFewPotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
DFewPotential 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 InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

March 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential 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.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
BSomePotential for Minimal HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
BSomePotential for Minimal HarmHealth InspectionStore, cook, and serve food in a safe and clean way.

July 28, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

March 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
DFewPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
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 InspectionExit stairways and towers that are smoke proof.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.
BSomePotential for Minimal HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.

March 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
CManyPotential for Minimal HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
CManyPotential for Minimal HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
CManyPotential for Minimal HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
CManyPotential for Minimal HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
CManyPotential for Minimal 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 HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential 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.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
BSomePotential for Minimal HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

February 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for each resident in a way that maintains or improves their quality of life.

January 9, 2014 - 3 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.

December 18, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmComplaintDevelop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.
DFewPotential for HarmComplaintProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of N M Holderman Memorial Hospital - 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.

2hr 45min
1hr 55min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
1hr 30min
50min
ReportedExpected
RN
4hr 40min
3hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.4%
98.4%
98.4%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.4%
97.7%
98.7%
94.6%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
34.0%
29.3%
30.4%
45.0%
Q1 2015Q2 2015Q3 2015CA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.8%
15.7%
15.1%
13.5%
Q1 2015Q2 2015Q3 2015CA
Received an Antipsychotic Medication
19.9%
21.8%
15.0%
11.3%
Q1 2015Q2 2015Q3 2015CA
Need for Help with ADLs has Increased
3.6%
6.4%
4.4%
5.2%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
6.0%
6.6%
4.7%
6.2%
Q1 2015Q2 2015Q3 2015CA
Lose Too Much Weight
6.1%
5.5%
4.0%
6.1%
Q1 2015Q2 2015Q3 2015CA
High Risk Residents With Pressure Ulcers
4.8%
3.1%
3.8%
1.2%
Q1 2015Q2 2015Q3 2015CA
Have Depressive Symptoms
4.3%
6.2%
3.7%
3.8%
Q1 2015Q2 2015Q3 2015CA
With a Urinary Tract Infection
3.5%
2.6%
3.0%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
2.9%
3.1%
2.5%
3.2%
Q1 2015Q2 2015Q3 2015CA
With a Catheter Inserted and Left in Their Bladder
1.9%
0.3%
0.3%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

92.0%
92.9%
91.4%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
68.0%
68.0%
68.0%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
17.6%
15.8%
11.3%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
2.2%
1.9%
2.1%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.0%
3.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened