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Deficiency Records for Pacific Grove Healthcare Center
A list of the most recent deficiencies for Pacific Grove Healthcare Center. 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 Pacific Grove Healthcare Center. 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? |
|---|---|---|---|---|
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-28 | 2024-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-09-13 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-08-14 | 2024-09-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-14 | 2024-09-04 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-08-05 | 2024-08-21 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Use approved construction type or materials. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-05-29 | 2024-06-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-24 | 2024-06-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-24 | 2024-06-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-24 | 2024-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-24 | 2024-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-24 | 2024-06-10 | 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 | 2024-05-24 | 2024-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-06-10 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-24 | 2024-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-24 | 2024-06-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-24 | 2024-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-12 | 2023-07-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-04-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-21 | 2023-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-17 | 2022-10-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-15 | 2022-07-27 | 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 | 2022-06-15 | 2022-07-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-15 | 2022-07-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-10 | 2022-07-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-10 | 2022-07-09 | 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 | 2022-06-10 | 2022-07-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide appropriate foot care. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-10 | 2022-07-09 | 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 | 2022-06-10 | 2022-07-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-10 | 2022-07-09 | 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 | 2022-06-10 | 2022-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-10 | 2022-07-09 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-06-10 | 2022-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-29 | 2021-12-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-01 | 2021-11-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-01 | 2021-11-30 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-12 | 2020-09-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-03-05 | 2020-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-03 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-03-05 | 2020-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-05 | 2020-04-03 | N |
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