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Serrano South Convalescent Hospital

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About Serrano South Convalescent Hospital

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 4, 1975 (43 years)
Capacity99
Residents82
Percent Occupied83%
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 Serrano South Convalescent Hospital

Serrano South Convalescent Hospital
was reviewed by 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

December 14, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.

November 29, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.

August 10, 2016 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

July 21, 2016 - 16 months 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 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
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 residents maintain acceptable nutritional status.
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 InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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.

July 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.

July 16, 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.

January 28, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintEnsure 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.
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual 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.
GFewActual HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Serrano South Convalescent Hospital 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.

3hr 25min
2hr 20min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
40min
1hr
ReportedExpected
RN
5hr 5min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.8%
61.4%
59.3%
61.6%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
64.6%
54.2%
19.2%
25.6%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
20.8%
-
25.0%
23.8%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
9.1%
11.3%
9.3%
11.0%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
16.9%
16.6%
-
23.6%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
8.2%
6.6%
10.0%
20.3%
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who received an antipsychotic medication
25.4%
10.9%
14.6%
12.7%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents whose need for help with daily activities has increased
15.0%
9.8%
7.3%
1.7%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who self-report moderate to severe pain
3.7%
4.3%
17.1%
6.5%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who lose too much weight
6.9%
7.8%
3.9%
3.6%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who have depressive symptoms
1.2%
2.9%
0.0%
1.3%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a urinary tract infection
3.7%
2.8%
1.4%
1.2%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents experiencing one or more falls with major injury
1.0%
1.2%
0.0%
0.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

2.3%
18.5%
13.0%
10.6%
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.5%
25.9%
25.5%
23.4%
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
4.2%
16.1%
9.5%
2.6%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
0.0%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
2.2%
4.1%
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
Percentage of short-stay residents with pressure ulcers that are new or worsened