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Deficiency Records for Santa Maria Post Acute
A list of the most recent deficiencies for Santa Maria 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 Santa Maria 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-22 | 2024-10-17 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-04-19 | 2024-05-02 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-10 | 2024-04-22 | Y |
| 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 | 2024-02-13 | 2024-02-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-02 | Y |
| 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 | 2023-06-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-13 | 2023-05-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-28 | 2023-04-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-23 | 2022-09-27 | 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 | 2022-08-23 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-18 | 2022-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-09-12 | 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 | 2022-08-18 | 2022-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-18 | 2022-09-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-18 | 2022-09-12 | 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 | 2022-08-18 | 2022-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-12 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-18 | 2022-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-18 | 2022-09-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-18 | 2022-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-09 | 2022-07-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-03 | 2022-07-07 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-23 | 2019-06-20 | 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 | 2019-05-23 | 2019-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-23 | 2019-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-23 | 2019-06-20 | 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 | 2019-05-23 | 2019-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-06-20 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-05-23 | 2019-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-23 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-06-20 | 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 | 2019-06-10 | 2019-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-10 | 2019-06-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-10 | 2019-06-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-05-23 | 2019-06-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-09-10 | 2018-09-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-10 | 2018-09-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-10 | 2018-09-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-28 | 2018-07-12 | 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 | 2018-06-28 | 2018-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-28 | 2018-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-28 | 2018-07-12 | N |
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