SIERRA VISTA HEALTHCARE (FRESNO, CA) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	23.0%
California:	13.1%

Percent of long-stay residents who self-report moderate to severe pain

Here:	17.1%
State:	8.9%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	8.9%
California:	7.5%

Percent of long-stay residents who lose too much weight

Here:	7.7%
California:	6.3%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	48.7%
State:	42.7%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	1.6%
State:	4.0%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	9.2%
California:	6.7%

Percent of long-stay residents who were physically restrained

This Nursing Home:	1.5%
State:	3.6%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	4.5%
California:	1.6%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	95.5%
California:	93.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	97.0%
State:	94.0%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	28.9%
California:	21.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	3.6%
State:	1.2%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	78.6%
California:	81.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	76.2%
State:	79.7%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	3.3%
California:	2.2%

Percent of long-stay residents who received an antipsychotic medication

Here:	15.6%
California:	19.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.670
State:	0.748

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.880
State:	0.900

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.540
California:	1.608

Complaint Deficiency

Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Many

SIERRA VISTA HEALTHCARE - FRESNO, CA

Quality Measures

Staff Information

Complaint Deficiency

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