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Deficiency Records for California Post Acute
A list of the most recent deficiencies for California 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 California 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-15 | 2024-09-06 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-08-15 | 2024-09-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-15 | 2024-09-06 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-15 | 2024-09-06 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-07 | 2024-08-23 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-01 | 2024-08-15 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-08-01 | 2024-08-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-01 | 2024-08-15 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-19 | 2024-08-08 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-05 | 2024-07-30 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-05 | 2024-07-30 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-07-05 | 2024-07-30 | 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 | 2024-07-05 | 2024-07-30 | 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 | 2024-07-05 | 2024-07-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-05 | 2024-07-30 | 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 | 2024-07-05 | 2024-07-30 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-05 | 2024-07-30 | 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 | 2024-07-05 | 2024-07-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-05 | 2024-07-30 | N |
Provide and implement an infection prevention and control program. | Health | 2024-07-05 | 2024-07-30 | N |
Keep all essential equipment working safely. | Health | 2024-07-05 | 2024-07-30 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-05 | 2024-07-30 | N |
Keep residents' personal and medical records private and confidential. | Health | 2024-05-01 | 2024-05-18 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-01 | 2024-05-18 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-26 | 2024-05-17 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-19 | 2024-05-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-19 | 2024-05-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-05-15 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-20 | 2024-01-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-28 | Y |
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 | 2023-12-07 | 2023-12-28 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-06 | 2023-12-18 | Y |
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 | 2023-12-06 | 2023-12-18 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2023-12-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-01 | 2023-12-01 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-29 | 2023-11-08 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-02 | 2023-11-03 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-29 | 2023-10-10 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-13 | 2023-09-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-09-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-13 | 2023-09-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-09-15 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-29 | 2023-07-31 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-29 | 2023-07-31 | Y |
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 | 2023-07-29 | 2023-07-31 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-29 | 2023-07-31 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-16 | 2023-06-07 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-05-02 | 2023-05-25 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-21 | 2023-03-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-30 | 2023-02-24 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-14 | 2022-12-28 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-14 | 2022-12-28 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-22 | 2022-12-24 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-16 | 2022-11-28 | 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 | 2022-08-23 | 2022-09-13 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-22 | 2022-08-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-08-31 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-17 | 2022-08-04 | Y |
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 | 2022-06-17 | 2022-08-04 | Y |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-14 | 2022-06-13 | N |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-05-06 | 2022-05-27 | 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 | 2022-05-04 | 2022-05-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-05-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-27 | 2022-05-13 | Y |
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 | 2022-04-27 | 2022-05-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-14 | 2022-04-28 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-14 | 2022-04-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-14 | 2022-04-28 | 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 | 2022-03-14 | 2022-04-28 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-03-14 | 2022-04-28 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-14 | 2022-04-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-14 | 2022-04-28 | N |
Honor each resident's preferences, choices, values and beliefs. | Health | 2022-03-14 | 2022-04-28 | N |
Provide activities to meet all resident's needs. | Health | 2022-03-14 | 2022-04-28 | 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 | 2022-03-14 | 2022-04-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-14 | 2022-04-28 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-14 | 2022-04-28 | 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 | 2022-03-14 | 2022-04-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-14 | 2022-04-28 | 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 | 2022-03-14 | 2022-04-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-14 | 2022-04-28 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-03-14 | 2022-04-28 | 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 | 2022-03-14 | 2022-04-28 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-03-14 | 2022-04-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-14 | 2022-04-28 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-04-28 | N |
Implement a program that monitors antibiotic use. | Health | 2022-03-14 | 2022-04-28 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-14 | 2022-04-28 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-14 | 2022-04-28 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-10 | 2022-03-10 | 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 | 2022-03-10 | 2022-03-10 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-03-10 | 2022-03-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-16 | 2022-02-23 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-16 | 2022-02-23 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-11 | 2021-10-21 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-15 | 2019-11-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-10-15 | 2019-11-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-11-15 | N |
Provide activities to meet all resident's needs. | Health | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-15 | 2019-11-15 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-10-15 | 2019-11-15 | N |
Post nurse staffing information every day. | Health | 2019-10-15 | 2019-11-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-15 | 2019-11-15 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-15 | 2019-11-15 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-15 | 2019-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-15 | 2019-11-15 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-10-11 | 2019-11-14 | 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 | 2019-10-11 | 2019-11-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-11 | 2019-11-14 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-11 | 2019-11-14 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-15 | Not Fixed | N |
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