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A & C Convalescent Hospital of Millbrae : citations
 

about citations

Under state law, a California nursing home can receive a citation and fine for certain violations of the law. Most nursing homes do not receive citations. In a typical year, less than 40% of California's nursing homes receive citations.

Citations are only issued for serious violations. You should be concerned if a nursing home is issued multiple citations in a brief period of time. However, it is also important to look at the nature of the citation. Some citations may indicate facility-wide problems or demonstrate failures to meet a particular care need.

Citations, while serious, should also be put into perspective. A single citation does not necessarily mean that a nursing home will provide poor care. Review the facility's deficiencies and complaints, as well as enforcement actions to see if there is a pattern of violations or if the facility has a fairly good record.

A change of ownership or management can quickly change the quality of care in a facility. Look to see which citations, if any, were acquired under the current owner.

The description for each citation lists the date that it was issued, the class of the citation, the CANHR category, the DPH category, and the amount of the fine. This information is followed by a brief summary of the citation prepared by CANHR.

At the end of each citation description is a citation number. If you want a copy of the actual citation, you will need to request it by citation number. Copies of citations can be obtained at the DPH District Office in the district where the facility is located. (link to DPH L&C district offices)


Includes Citations received by CANHR as of 10/28/2014

summary of citations by year

Citations

2010 
2011 
2012 
2013 
2014 
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description of each citation
details
date
class
canhr category type
DHS category
fine
09/02/2009  Fiduciary  Abuse 

  $700.00

 

Name at time: A & C Convalescent Hospital of Millbrae
During an investigation by Social Services as to why one of the facility's residents had not been paying the required share of cost it was discovered that the resident had written two checks, each in the amount of $300, to a former Social Service Assistant who no longer worked there. It was determined that this had come to the attention of the facility around 8/4/09, but the facility never investigated this. The facility was cited for failure to establish a system to prevent financial abuse and for failure to report this incident. Citation # 220006516.

01/31/2008  Verbal Abuse  Patient Care 

  $1,000.00

 

Name at time: A & C Convalescent Hospital of Millbrae
On 12/12/07 during an interview with a resident, a state official was told a CNA had been yelling and had tossed the resident's personal belongings around the room and told her not to tell the charge nurse. The resident also said when she asked the CNA to empty her bedpan, the CNA replied, "I'll be back," but never returned. The resident stated the CNA handled her roommate roughly while transferring her, and when she tried to intervene she was told, "It's none of our business." The facility was fined for failing to treat the resident with dignity and respect and for subjecting her to verbal abuse. Citation # 220004632.

12/27/2006  Careplan  Patient Care 

  $1,000.00

 

Name at time: Emmanuel Convalescent Hospital of Millbrae
At 8:15 p.m on 6/11/06. police found a male resident in his wheelchair along a busy two lane street one block from the facility. The facility was cited for failure to monitor a resident who had a history of leaving the facility and removing his wander guard device. Citation # 220003599.

10/17/2002  Physical Abuse  Patient Rights 

  $1,000.00

 

Name at time: Emmanuel Convalescent Hospital of Millbrae
An 80 year old female resident with moderately impaired cognition reported to her son on 6/17/01 that a staff member had hit her, resulting in a small cut on her forearm. The facility was cited for failing to ensure the resident was free from physical abuse. Citation # 220001534.

06/22/2001  Physical Abuse  Patient Rights 

  $1,000.00

 

Name at time: Emmanuel Convalescent Hospital of Millbrae
In November 2000 an 81 year-old resident reported to staff that the night CNA had punched him in the abdomen causing a bruise. Nurses' notes document and confirm the appearance of a bruise. The CNA was not put on suspension until three days following the report of the incident and continued to provide care to the resident. The resident's physician and responsible party were not notified. The facility was cited for failure to ensure each resident is free from abuse of any kind, failure to notify the physician of a change in condition, and failure to implement the facility's policy and procedure for allegations of abuse. Citation # 220001490.

08/26/1998  Dignity  Patient Care 

  $800.00

 

Name at time: Emmanuel Convalescent Hospital of Millbrae
A 101 year old male resident was subjected to neglect and undignified treatment when his penis was tied to a urinal with a towel and left for 2 hours because he was incontinent of urine functions. Facility cited for failure to provide services his care and services required for his incontinence, and to provide self-respect and dignity to resident. Citation # 220001009.

02/25/1998  Supervision  Patient Care 

  $500.00

 

Name at time: Emmanuel Convalescent Hospital of Millbrae
Resident with severe Alzheimer's disease wandered away from facility in his wheelchair and was found by a family member -- facility cited for failure to monitor the resident and failure to notify resident's wife about the incident Citation # 220000987.

07/25/1996  Physical Environment  Physical Environment 

  $2,500.00

 

Name at time: Emmanuel Convalescent Hospital of Milbrae
92 year old resident with severely impaired cognitive skills and vision and known to wander ingested latex paint left unattended on an open paint tray in her bathroom -- resident had to be taken to hospital emergency room -- facility cited for failing to provide a safe environment free of accident hazards and to ensure adequate supervision of resident to prevent accidents Citation # 220000924.

02/21/1995  Fall  Patient Care 

  $500.00

 

Name at time: Sheltering Pines Convalescent Hospital
Facility failed to provide adequate help in moving residents -- one resident suffered a fractured knee and another a broken leg Citation # 220000863.

12/14/1994  Physical Restraints  Patient Care 

  $500.00

 

Name at time: Sheltering Pines Convalescent Hospital
Facility did not reassess safety needs and appropriateness of restraints after resident was found unattended on the floor Citation # 220000855.

12/09/1994  Sexual Abuse  Patient Rights 

  $900.00

 

Name at time: Sheltering Pines Convalescent Hospital
Resident sexually abused numerous residents -- facility failed to protect other residents and to follow its elder abuse reporting policy Citation # 220000852.

11/17/1993  Physical Environment  Physical Environment 

  $250.00

 

Name at time: Sheltering Pines Convalescent Hospital
Facility's emergency power generator inoperable Citation # 220000806.

09/20/1993  Fall  Patient Care 

  $1,000.00

 

Name at time: Sheltering Pines Convalescent Hospital
Resident not reassessed after unexplained injuries and falls -- resident broke ankle and later died of pneumonia Citation # 220000800.

09/20/1993  Injury  Patient Care 

  $1,000.00

 

Name at time: Sheltering Pines Convalescent Hospital
Facility failed to keep dependent resident free from injury -- resident fractured knee Citation # 220000801.

12/14/1992  Decubiti  Patient Care 

  $650.00

 

Name at time: Sheltering Pines Convalescent Hospital
Facility failed to careplan to prevent skin breakdown -- resident developed Stage III pressure sore Citation # 220000761.

04/10/1991  Patient Care  Patient Care 

  $750.00

 

Name at time: Sheltering Pines Convalescent Hospital
CitationWatch description will be published once citation is received. Citation # 220000669.

03/18/1991  Patient Care  Patient Care 

  $1,500.00

 

Name at time: Sheltering Pines Convalescent Hospital
CitationWatch description will be published once citation is received. Citation # 220000667.

05/23/1990  Patient Rights  Patient Rights 

  $400.00

 

Name at time: Sheltering Pines Convalescent Hospital
CitationWatch description will be published once citation is received. Citation # 220000590.

 

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