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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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