Untreated bed sores and infections, residents left for hours lying in their own waste, a resident with maggots in a festering rectal wound. Despite a generation’s worth of state and federal laws to guarantee a satisfactory standard of care in California nursing homes, an alarming number of facilities are failing to deliver decent humane care to their residents. This is the takeaway from CANHR’s hair-raising review of fourteen reports from California’s Operation Guardians, a project of the state Department of Justice’s Bureau of Medi-Cal Fraud and Elder Abuse. The reports reveal a shameful state of affairs in the reviewed nursing homes that is fostered, in part, by a lack of statewide enforcement from the Department of Public Health (DPH).
Operation Guardians began in 2000 to conduct surprise, on-site inspections of California nursing homes in an effort to protect residents and improve care for elderly and dependent adult residents. (See Operation Guardians description) While the project has scaled back its number of inspections, it still manages to inspect about one new nursing home each month. Each inspection results in a report detailing the facility’s compliance with basic sanitation and quality of care standards. The reports are sent to DPH so it can conduct an independent investigation and issue appropriate enforcement actions. The reports are not made available to the public. CANHR made a Public Records Act request to obtain all reports issued from January 1, 2010 through March 7, 2012 and has subsequently posted the reports to its website. It is believed that CANHR is the first organization to publicly reveal the Operation Guardians reports.
Each of the nursing homes listed below were investigated by Operation Guardians staff between January 1, 2010 and March 7, 2012. If you click on the facility’s name, you will see a summary of the findings as well as a link to the full report and, where available, a supplemental physician’s report.
Bakersfield Healthcare Center – Bakersfield
Braswell’s Hampton Manor – Yucaipa
Desert Knolls Convalescent Hospital – Victorville
Evergreen Healthcare Centers of Vallejo – Springs Road (aka. Springs Road Healthcare) – Vallejo
Florin Healthcare Center – Sacramento
Golden Cross Health Care – Pasadena
Motion Picture and Television Fund Skilled Nursing Units – Woodland Hills
Plott Nursing Home – Ontario
Roseville Point Health & Wellness Center – Roseville
Sunrise Convalescent Hospital – Pasadena
Tarzana Health and Rehabilitation Center – Tarzana
Windsor Redding Care Center – Windsor
Winsor House Care Center (aka. Orchard Post Acute Care) – Vacaville
Yuba Skilled Nursing Center – Yuba City
Operation Guardians – Executive Summary
Press Release: Canhr Releases Attorney General Reports Showing Rampant Abuse and Neglect in Fourteen California Nursing Homes
Attorney General’s Description of Operation Guardians
California Advocates for Nursing Home Reform – CANHR