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Deficiency Records for Vacaville Ranch Post Acute
A list of the most recent deficiencies for Vacaville Ranch 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 Vacaville Ranch 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-07-23 | 2024-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-23 | 2024-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-23 | 2024-08-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-23 | 2024-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-23 | 2024-08-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-12 | 2024-08-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-12 | 2024-08-08 | 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 | 2024-07-12 | 2024-08-08 | 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 | 2024-07-12 | 2024-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-12 | 2024-08-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-20 | 2024-06-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-20 | 2024-06-28 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-02-09 | 2024-05-23 | 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 | 2024-02-09 | 2024-04-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-09 | 2024-04-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-02-09 | 2024-04-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-09 | 2024-04-05 | 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 | 2024-02-09 | 2024-04-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-09 | 2024-04-05 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-02-09 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-04-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-09 | 2024-04-05 | N |
| Post nurse staffing information every day. | Health | 2024-02-09 | 2024-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-09 | 2024-04-05 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-09 | 2024-04-05 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-09 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-04-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-09 | 2024-04-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-02-09 | 2024-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-14 | 2024-04-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-14 | 2024-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-14 | 2024-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-14 | 2024-04-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-15 | 2023-10-06 | 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 | 2023-08-15 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-15 | 2023-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-11 | 2023-09-07 | 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 | 2023-08-11 | 2023-09-07 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-11 | 2023-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-11 | 2023-09-07 | 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 | 2023-08-11 | 2023-09-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-11 | 2023-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-09-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-19 | 2022-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-19 | 2022-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-21 | 2022-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2021-11-22 | Y |
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