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Deficiency Records for Santa Monica Health Care Center
A list of the most recent deficiencies for Santa Monica Health 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 Santa Monica Health 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? |
|---|---|---|---|---|
| Provide emergency officials' contact information. | Fire Safety | 2024-03-27 | 2024-04-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-27 | 2024-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-27 | 2024-04-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-27 | 2024-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-29 | 2024-04-22 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-29 | 2024-04-22 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-03-29 | 2024-04-22 | 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 | 2024-03-29 | 2024-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-29 | 2024-04-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-29 | 2024-04-22 | 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 | 2024-03-29 | 2024-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-29 | 2024-04-22 | 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 | 2024-03-20 | 2024-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-19 | 2024-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-17 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-12 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-13 | 2023-07-13 | 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 | 2023-06-13 | 2023-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-13 | 2023-07-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-13 | 2023-07-13 | 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 | 2023-06-08 | 2023-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-07-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-08 | 2023-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-02 | 2022-12-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-02 | 2022-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-03-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-27 | 2020-01-27 | 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 | 2019-12-27 | 2020-01-27 | 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 | 2019-12-27 | 2020-01-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-12-27 | 2020-01-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-27 | 2020-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-27 | 2020-01-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-27 | 2020-01-23 | 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 | 2019-12-27 | 2020-01-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-27 | 2020-01-23 | N |
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