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Deficiency Records for Moraga Post Acute

A list of the most recent deficiencies for Moraga 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 Moraga 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?
Ensure each resident receives an accurate assessment. Health 2023-11-03 2023-12-06 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-11-03 2023-12-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-03 2023-12-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-03 2023-12-06 N
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. Health 2023-11-03 2023-12-06 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-11-03 2023-12-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-03 2023-12-06 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-03 2023-12-06 N
Provide and implement an infection prevention and control program. Health 2023-11-03 2023-12-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-07 2023-11-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-08-01 2023-09-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-01 2023-09-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-15 2022-10-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-24 2022-05-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-07-09 2021-08-20 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2021-07-09 2021-08-20 N
Provide enough food/fluids to maintain a resident's health. Health 2021-07-09 2021-08-20 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-07-09 2021-08-20 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-07-09 2021-08-20 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2021-07-09 2021-08-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-07-09 2021-08-20 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-07-09 2021-08-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-09 2021-08-20 N
Provide and implement an infection prevention and control program. Health 2021-07-09 2021-08-20 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-07-15 2021-08-03 N
Establish policies and procedures for medical documentation. Fire Safety 2021-07-15 2021-08-03 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 2021-07-15 2021-08-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-15 2021-08-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-15 2021-08-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-15 2021-08-03 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-09-09 2019-10-10 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2019-09-09 2019-10-10 N
Address subsistence needs for staff and patients. Fire Safety 2019-09-09 2019-10-10 N
Establish policies and procedures for volunteers. Fire Safety 2019-09-09 2019-10-10 N
List the names and contact information of those in the facility. Fire Safety 2019-09-09 2019-10-10 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2019-09-09 2019-10-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-09-09 2019-10-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-09 2019-10-10 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-07-06 Not Fixed N

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