| Jerold Phelps Comm Hosp SNF | |
| 733 Cedar Street, Garberville, California 95542 | |
| (707) 923-3921 | |
| Name | Jerold Phelps Comm Hosp SNF |
|---|---|
| Location | 733 Cedar Street, Garberville, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 17 |
| Occupancy Rate | 46.47% |
| Medicare ID (CCN) | 555516 |
| Legal Business Name | Southern Humboldt Community Healthcare District |
| Ownership Type | Government - Hospital District |
| NPI Number | 1245458421 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Southern Humboldt Community Healthcare District |
| Doing Business As | Jerold Phelps Community Hospital Skilled Nursing Facility |
| Address | 733 Cedar St, Garberville, CA 95542 |
| Phone Number | 707-923-3921 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 7.74 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.28 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 3.8 | 0.86 |
| Nurse aide hours per resident per day | 2.66 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 7.25 | 3.42 |
| RN hours per resident per day on the weekend | 1.28 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 23, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Sep 12, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Oct 30, 2025 |
| Sep 12, 2025 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 30, 2025 |
| Sep 12, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Oct 30, 2025 |
| Sep 12, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 30, 2025 |
| Sep 12, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 30, 2025 |
| Sep 12, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 30, 2025 |
| Apr 17, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, widespread | Corrected by Jun 1, 2025 |
| Apr 17, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jun 1, 2025 |
| Apr 17, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 1, 2025 |
| Mar 1, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Apr 9, 2024 |
| Mar 1, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Apr 9, 2024 |
| Mar 1, 2024 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F0837, Administration, Standard inspection | Potential for harm, widespread | Corrected by Apr 9, 2024 |
| Mar 1, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 9, 2024 |
| Mar 1, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2024 |
| Mar 1, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2024 |
| Mar 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2024 |
| May 20, 2021 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, widespread | Corrected by Jul 22, 2021 |
| May 20, 2021 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jul 22, 2021 |
| May 20, 2021 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 22, 2021 |
| May 20, 2021 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 22, 2021 |
| May 20, 2021 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 22, 2021 |
| May 20, 2021 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 22, 2021 |
| May 20, 2021 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2021 |
| May 20, 2021 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2021 |
| May 20, 2021 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2021 |
| May 20, 2021 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2021 |
| May 20, 2021 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jul 22, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 30 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.41 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 11.11 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 16 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Not Available | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.86 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.96 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10 | 15.38 |