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Deficiency Records for The Sequoias
A list of the most recent deficiencies for The Sequoias. 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 The Sequoias. 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? |
---|---|---|---|---|
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 | 2024-05-24 | 2024-07-01 | Y |
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 | 2024-05-24 | 2024-07-01 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-24 | 2024-07-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-05-24 | 2024-07-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-07-01 | 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 | 2024-05-24 | 2024-07-01 | 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 | 2024-07-01 | 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 | 2024-07-01 | N |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-24 | 2024-07-01 | N |
Establish staff and initial training requirements. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-28 | 2024-06-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-28 | 2024-06-26 | 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 | 2022-01-10 | 2022-01-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-30 | 2022-01-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-30 | 2022-01-27 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-30 | 2022-01-27 | 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 | 2021-12-30 | 2022-01-27 | N |
Dispose of garbage and refuse properly. | Health | 2021-12-30 | 2022-01-27 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-27 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-30 | 2019-12-13 | 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 | 2019-09-26 | 2019-12-05 | 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 | 2019-09-26 | 2019-12-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-12-05 | N |
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