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NATIONAL NURSING HOME WATCH LIST

MISSION DE LA CASA: Actual Harm and/or Immediate Jeopardy

2501 ALVIN AVENUE

SAN JOSE CA

TELEPHONE: 4082389751

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 163 / 88

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Based on the annual and complaint survey data reported by CMS as of 06/25/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below:
RATING DEFINITION
actual harm and/or immediate jeopardy: score= G,H,I,J,K,L
potential for more than minimal harm: score= D, E, F
potential for minimal harm: score= A, B, C
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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/29/2008
RATING VIOLATION SCOPE/SEVERITY CODE
Keep accurate and appropriate medical records. B
Let residents talk to and get information from agencies acting on their behalf. B
Have a program to keep infection from spreading. D
Make sure that the nursing home area is safe, easy to use, clean and comfortable. D
Have a private telephone available for use. B
Have a detailed, written plan for disasters and emergencies. E
Let residents give themselves their drugs if they are able. D
Give or get lab tests to meet the needs of residents. D
Give lab tests only when the attending doctor ordered them. D
Allow married couples to share a room. G
Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. B
Allow residents to easily see the results of the nursing home's most recent survey. B
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Train all employees on what to do in an emergency. D
Give each resident care and services to get or keep the highest quality of life possible. D
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
Get rid of garbage properly. C
Store, cook, and give out food in a safe and clean way. F
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
offer Flu or Pneumococal vaccine to some residents. B
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. D
Keep each resident free from physical restraints, unless needed for medical treatment. D
Keep assessments completed in the preceding 15 months in the resident's active record. B
Give professional services that follow each resident's written care plan. D
Give professional services that meet a professional standard of quality. D
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. E
Provide activities to meet the needs of each resident. D
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
Protect each resident from all abuse, physical punishment, and being separated from others. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
04/22/2005 Provide needed housekeeping and maintenance. D
04/22/2005 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
04/22/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
04/22/2005 Store, cook, and give out food in a safe and clean way. B
05/26/2005 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
09/19/2005 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
10/25/2006 Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transf D
10/25/2006 Give professional services that meet a professional standard of quality. D
10/25/2006 Give professional services that follow each resident's written care plan. D
10/25/2006 Offer other nutritional food to each resident who will not eat the food served. D
12/13/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
12/13/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
12/13/2006 Give professional services that meet a professional standard of quality. D
12/13/2006 Use a registered nurse at least 8 hours a day, 7 days a week. D
10/29/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
10/29/2007 Provide care in a way that keeps or builds each resident's dignity and self respect. D
03/07/2008 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. D
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