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Deficiency Records for Los Palos Post-Acute Care Center
A list of the most recent deficiencies for Los Palos Post-Acute Care Center. 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 Los Palos Post-Acute Care Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-04 | 2024-06-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-06-21 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-09 | 2024-06-09 | 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 | 2024-05-09 | 2024-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-09 | 2024-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-03 | 2024-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-03 | 2024-06-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-03 | 2024-06-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-03 | 2024-06-01 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-03 | 2024-06-01 | 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 | 2024-05-03 | 2024-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-03 | 2024-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-03 | 2024-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-03 | 2024-06-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-03 | 2024-06-01 | 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 | 2024-05-03 | 2024-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-03 | 2024-06-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-03 | 2024-06-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-03 | 2024-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-29 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-29 | 2024-03-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-03 | 2024-01-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-19 | 2023-08-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-20 | 2023-05-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-20 | 2023-05-20 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-14 | 2023-03-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-20 | 2023-01-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-20 | 2023-01-13 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-14 | 2021-08-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-02 | 2021-08-03 | 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 | 2021-07-02 | 2021-08-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-02 | 2021-08-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-07-02 | 2021-08-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-07-02 | 2021-08-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-02 | 2021-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-02 | 2021-08-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-02 | 2021-08-03 | 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 | 2021-07-02 | 2021-08-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-02 | 2021-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-02 | 2021-08-03 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-07-02 | 2021-08-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-02 | 2021-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-02 | 2021-08-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-07-02 | 2021-08-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-07-02 | 2021-08-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-10 | 2019-12-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-10 | 2019-12-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-10 | 2019-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-10 | 2019-12-16 | 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 | 2019-11-10 | 2019-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-10 | 2019-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-10 | 2019-12-16 | 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 | 2019-11-10 | 2019-12-16 | 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 | 2019-11-10 | 2019-12-16 | 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 | 2019-11-10 | 2019-12-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-11-10 | 2019-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-10 | 2019-12-16 | N |
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