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** Data is not kept up to date **

Oak Park Convalescent Hospital
1625 Oak Park Blvd.
Pleasant Hill, CA 94523
P: (925) 935-5222

Facility Ratings

Overall Rating

Health Inspection

Nurse Staff

Quality

RN Only

Facility Features

37
Number of Residents
Accepts
Medicaid and Medicare
73%
Bed Occupancy
51
Certified Beds
Counseling
Resident
No
Located in Hospital

Additional Details

Health Survey 03/29/12
Fire Survey Date 04/04/12
Sprinkler Status Yes
Multi-Nurshing Home Ownership Yes
Ownership Type Corporation (For Profit)
Continuing Care Retirement Community No
Quality Indicator Survey No
Special Focus Facility No

Survey Deficiencies

Survey Date Correction Date Deficiency Type Deficiency Category Deficiency Deficiency Scope Harm Level
11/18/09 12/15/09 Fire Safety Automatic Sprinkler Systems Deficiencies Properly working alarms on sprinkler valves. Many 2
11/18/09 12/15/09 Fire Safety Corridor Walls and Doors Deficiencies Corridor and hallway doors that block smoke. Few 2
11/18/09 12/15/09 Fire Safety Building Service Equipment Deficiencies Restrictions on the use of portable space heaters. Few 2
11/18/09 12/15/09 Fire Safety Smoke Compartmentation and Control Deficiencies Walls that prevent smoke from passing through and would resist fire for at least one hour. Many 1
11/18/09 12/15/09 Fire Safety Fire Alarm Systems Deficiencies Properly maintained smoke detectors. Many 1
11/18/09 12/15/09 Fire Safety Electrical Deficiencies Weekly inspections and monthly testing of generators. Many 2
11/18/09 12/15/09 Fire Safety Building Construction Deficiencies Approved construction type or materials. Few 2
11/18/09 12/15/09 Fire Safety Electrical Deficiencies Properly installed electrical wiring and equipment. Some 2
11/18/09 12/15/09 Fire Safety Illumination and Emergency Power Deficiencies Properly located and lighted "Exit" signs. Few 2
11/18/09 12/15/09 Fire Safety Fire Alarm Systems Deficiencies A fire alarm system that can be heard throughout the facility. Many 1
11/09/09 12/08/09 Health Pharmacy Service Deficiencies Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Few 2
11/09/09 12/08/09 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Few 2
11/09/09 12/08/09 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Few 2
11/09/09 12/08/09 Health Environmental Deficiencies Provide housekeeping and maintenance services. Few 2
11/09/09 12/08/09 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Few 2
11/09/09 12/08/09 Health Environmental Deficiencies Have a program that investigates, controls and keeps infection from spreading. Few 2
11/09/09 12/08/09 Health Resident Rights Deficiencies Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Few 2
11/09/09 12/08/09 Health Environmental Deficiencies Maintain comfortable and safe temperature levels. Few 2
04/04/12 05/15/12 Fire Safety Corridor Walls and Doors Deficiencies Corridor and hallway doors that block smoke. Some 2
04/04/12 05/15/12 Fire Safety Fire Alarm Systems Deficiencies An approved installation, maintenance and testing program for fire alarm systems. Few 2
04/04/12 05/15/12 Fire Safety Building Service Equipment Deficiencies Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Few 2
04/04/12 05/15/12 Fire Safety Electrical Deficiencies Properly installed electrical wiring and equipment. Some 2
04/04/12 05/15/12 Fire Safety Building Construction Deficiencies Approved construction type or materials. Few 2
04/04/12 05/15/12 Fire Safety Automatic Sprinkler Systems Deficiencies Automatic sprinkler systems that have been maintained in working order. Few 2
04/04/12 05/15/12 Fire Safety Furnishings and Decorations Deficiencies Restrictions on the use of highly flammable decorations. Few 2
03/29/12 04/29/12 Health Environmental Deficiencies Maintain comfortable and safe temperature levels. Few 2
03/29/12 04/29/12 Health Pharmacy Service Deficiencies Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Few 2
03/29/12 04/29/12 Health Administration Deficiencies Keep accurate, complete and organized clinical records on each resident that meet professional standards. Few 2
03/29/12 04/29/12 Health Resident Rights Deficiencies Reasonably accommodate the needs and preferences of each resident. Some 2
03/29/12 04/29/12 Health Quality Care Deficiencies Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Some 1
03/29/12 04/29/12 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Some 1
03/29/12 04/29/12 Health Administration Deficiencies Train all employees on what to do in an emergency, and carry out unannounced staff drills. Some 2
03/29/12 04/29/12 Health Pharmacy Service Deficiencies At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Few 2
03/29/12 04/29/12 Health Environmental Deficiencies Have a program that investigates, controls and keeps infection from spreading. Few 2
03/29/12 04/29/12 Health Environmental Deficiencies Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Some 1
03/29/12 04/29/12 Health Nutrition and Dietary Deficiencies Store, cook, and serve food in a safe and clean way. Some 1
03/29/12 04/29/12 Health Administration Deficiencies Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Some 2
02/11/11 03/11/11 Health Resident Assessment Deficiencies Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Few 2
02/11/11 03/11/11 Health Pharmacy Service Deficiencies Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Few 2
02/11/11 03/11/11 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Many 2
02/11/11 03/11/11 Health Mistreatment Deficiencies Develop 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. Few 2
02/11/11 03/11/11 Health Resident Assessment Deficiencies Ensure each resident receives an accurate assessment by a qualified health professional. Few 2
02/11/11 03/11/11 Health Nutrition and Dietary Deficiencies Store, cook, and serve food in a safe and clean way. Few 2
02/11/11 03/11/11 Health Environmental Deficiencies Have a program that investigates, controls and keeps infection from spreading. Few 2
02/11/11 03/11/11 Health Resident Rights Deficiencies Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Few 2
02/10/11 02/28/11 Fire Safety Fire Alarm Systems Deficiencies Properly maintained smoke detectors. Many 1
02/10/11 02/28/11 Fire Safety Emergency Plans and Fire Drills Deficiencies Record of quarterly fire drills for each shift under varying conditions. Some 2
02/10/11 02/28/11 Fire Safety Corridor Walls and Doors Deficiencies Corridor and hallway doors that block smoke. Few 2
02/10/11 02/28/11 Fire Safety Building Service Equipment Deficiencies Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Few 2
02/10/11 02/28/11 Fire Safety Electrical Deficiencies Properly installed electrical wiring and equipment. Many 2
02/10/11 02/28/11 Fire Safety Fire Alarm Systems Deficiencies A fire alarm system that can be heard throughout the facility. Some 2
02/10/11 02/28/11 Fire Safety Building Construction Deficiencies Approved construction type or materials. Few 2
02/10/11 02/28/11 Fire Safety Automatic Sprinkler Systems Deficiencies Automatic sprinkler systems that have been maintained in working order. Few 2
02/10/11 02/28/11 Fire Safety Medical Gases and Anesthetizing Areas Deficiencies Proper medical gas storage and administration areas. Few 2

Legal Business Name Not Available is a Corporation (For Profit)

Owner Name Ownership Role
Ownership Data Not Available

Quality Measures

Measure Prior 3 Quarters Recent Quarter Change
Percent of long-stay residents whose need for help with daily activities has increased 8.2% 0.0% * - 8.2%
Percent of long-stay residents who self-report moderate to severe pain 2.8% 2.7% - 0.1%
Percent of long-stay high-risk residents with pressure ulcers 1.4% 0.0% * - 1.4%
Percent of long-stay residents who lose too much weight 1.9% 2.9% + 1.0%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 18.9% 0.0% * -18.9%
Percent of long-stay residents who have had a catheter inserted and left in their bladder 3.4% 3.8% + 0.4%
Percent of long-stay residents with a urinary tract infection 6.6% 2.9% - 3.7%
Percent of long-stay residents who have depressive symptoms 4.8% 8.8% + 4.0%
Percent of long-stay residents who were physically restrained 0.0% 0.0% 0.0%
Percent of long-stay residents experiencing one or more falls with major injury 0.0% 0.0% 0.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine 100.0% 100.0% 0.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine 100.0% 100.0% 0.0%
Percent of short-stay residents who self-report moderate to severe pain 0.0% * 0.0% * 0.0%
Percent of short-stay residents with Pressure ulcers that are new or worsened 0.0% * 0.0% * 0.0%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine 0.0% * 0.0% * 0.0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine 0.0% * 0.0% * 0.0%
Percent of short-stay residents who newly received an antipsychotic medication 0.0% * 0.0% * 0.0%
Percent of long-stay residents who received an antipsychotic medication 12.8% 20.0% + 7.2%