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Deficiency Records for Yuba City Post Acute
A list of the most recent deficiencies for Yuba City 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 Yuba City 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-30 | 2024-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-30 | 2024-09-30 | 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 | 2024-08-30 | 2024-09-27 | 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 | 2024-08-30 | 2024-09-23 | 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 | 2024-08-30 | 2024-09-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-08-30 | 2024-09-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-30 | 2024-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-09-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-30 | 2024-09-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-30 | 2024-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-30 | 2024-09-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-03 | 2024-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-14 | 2023-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2023-12-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-11 | 2023-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-05 | 2022-12-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-14 | 2021-11-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-11-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-14 | 2021-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-14 | 2021-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-14 | 2021-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-14 | 2021-11-22 | 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 | 2021-10-14 | 2021-11-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-14 | 2021-11-22 | 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 | 2021-10-14 | 2021-11-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-14 | 2021-11-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-14 | 2021-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-14 | 2021-11-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-10-14 | 2021-11-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-21 | 2021-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-21 | 2021-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-21 | 2021-11-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-21 | 2021-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-21 | 2021-11-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-10-21 | 2021-11-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-01 | 2019-05-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-01 | 2019-05-28 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-01 | 2019-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-01 | 2019-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-01 | 2019-05-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-01 | 2019-05-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-29 | 2019-05-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-29 | 2019-05-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-29 | 2019-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-29 | 2019-05-08 | 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 | 2019-03-29 | 2019-05-08 | N |
| Post nurse staffing information every day. | Health | 2019-03-29 | 2019-05-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-29 | 2019-05-08 | 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 | 2019-03-29 | 2019-05-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-03-29 | 2019-05-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-03-29 | 2019-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-29 | 2019-05-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-29 | 2019-05-08 | N |
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