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Deficiency Records for Vista Pacifica Convalescent Hospital
A list of the most recent deficiencies for Vista Pacifica Convalescent Hospital. 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 Vista Pacifica Convalescent Hospital. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-12 | 2024-03-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-12 | 2024-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-12 | 2024-03-01 | 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 | 2024-02-12 | 2024-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-12 | 2024-03-01 | 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 | 2024-02-12 | 2024-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-12 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-12 | 2024-03-01 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-02-12 | 2024-02-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-12 | 2024-02-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-12 | 2024-02-28 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-12 | 2024-02-28 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-02-12 | 2024-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-12 | 2024-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-12 | 2024-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-12 | 2024-02-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-12 | 2024-02-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-12 | 2024-02-27 | 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 | 2024-02-12 | 2024-02-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-12 | 2024-02-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-02 | 2023-10-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-14 | 2023-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-26 | 2023-06-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-11 | 2022-03-09 | 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 | 2022-02-11 | 2022-03-09 | 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 | 2022-02-11 | 2022-03-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-11 | 2022-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-11 | 2022-03-09 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-11 | 2022-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-11 | 2022-03-09 | 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 | 2022-02-14 | 2022-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-14 | 2022-02-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-14 | 2022-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-14 | 2022-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-14 | 2022-02-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-09 | 2019-08-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-09 | 2019-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-09 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-09 | 2019-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-09 | 2019-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-09 | 2019-08-05 | 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 | 2019-06-13 | 2019-07-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-13 | 2019-07-22 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-13 | 2019-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-13 | 2019-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-22 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-06-13 | 2019-07-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-13 | 2019-07-22 | N |
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