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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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