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Deficiency Records for Los Banos Post Acute
A list of the most recent deficiencies for Los Banos Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Los Banos Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-08-12 | 2024-09-18 | Y |
Implement emergency and standby power systems. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Use approved construction type or materials. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-01 | 2024-08-22 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-08-01 | 2024-08-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-08 | 2023-11-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-05-07 | Y |
Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-20 | 2019-11-22 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-20 | 2019-11-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-11-22 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-20 | 2019-11-22 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-24 | 2018-12-26 | N |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-08-24 | 2018-12-26 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-24 | 2018-12-26 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-24 | 2018-12-26 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-24 | 2018-12-26 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-24 | 2018-12-26 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-24 | 2018-12-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-12-26 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-24 | 2018-12-26 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-08-24 | 2018-12-26 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-24 | 2018-12-26 | N |
Implement a program that monitors antibiotic use. | Health | 2018-08-24 | 2018-12-26 | N |
Keep all essential equipment working safely. | Health | 2018-08-24 | 2018-12-26 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-24 | 2018-12-26 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Develop a communication plan. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-07 | 2018-11-30 | N |
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