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Deficiency Records for Driftwood Healthcare Center - Santa Cruz
A list of the most recent deficiencies for Driftwood Healthcare Center - Santa Cruz. 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 Driftwood Healthcare Center - Santa Cruz. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Develop a communication plan. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-25 | 2024-07-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-24 | 2024-07-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-24 | 2024-07-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-24 | 2024-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-24 | 2024-07-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-06-24 | 2024-07-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-06-24 | 2024-07-17 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-06-24 | 2024-07-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-24 | 2024-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-24 | 2024-07-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-24 | 2024-07-17 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-06-24 | 2024-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-24 | 2024-07-17 | N |
| Dispose of garbage and refuse properly. | Health | 2024-06-24 | 2024-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-24 | 2024-07-17 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-06-24 | 2024-07-17 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-06-24 | 2024-07-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-24 | 2024-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-19 | 2024-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-04 | 2024-03-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-18 | 2024-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-09 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-10-30 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-12 | 2023-06-15 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-12 | 2023-06-15 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-12 | 2023-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-05 | 2023-02-05 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-29 | 2022-12-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-19 | 2022-09-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-19 | 2022-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-19 | 2022-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-19 | 2022-09-12 | 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 | 2022-08-19 | 2022-09-12 | 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 | 2022-08-19 | 2022-09-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-19 | 2022-09-12 | 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 | 2022-08-19 | 2022-09-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-08-19 | 2022-09-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-19 | 2022-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-19 | 2022-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-19 | 2022-09-12 | N |
| Keep all essential equipment working safely. | Health | 2022-08-19 | 2022-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-22 | 2022-09-07 | 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 | 2022-08-22 | 2022-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-22 | 2022-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-22 | 2022-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-22 | 2022-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-22 | 2022-09-07 | N |
| Provide appropriate foot care. | Health | 2022-01-03 | 2022-01-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Establish methods for sharing information. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-14 | 2020-02-03 | 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 | 2020-01-14 | 2020-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2019-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-05 | 2019-12-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-05 | 2019-12-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-05 | 2019-12-23 | 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 | 2019-12-05 | 2019-12-23 | 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 | 2019-12-05 | 2019-12-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2019-12-23 | 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 | 2019-12-05 | 2019-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2019-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-23 | N |
| Keep all essential equipment working safely. | Health | 2019-12-05 | 2019-12-23 | N |
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