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Deficiency Records for Visalia Post Acute
A list of the most recent deficiencies for Visalia 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 Visalia 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? |
|---|---|---|---|---|
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-08-15 | 2024-09-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-28 | 2024-07-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-08 | 2024-06-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-08 | 2024-06-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-08 | 2024-06-27 | 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 | 2024-05-16 | 2024-05-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-05-17 | Y |
| Provide appropriate foot care. | Health | 2024-05-16 | 2024-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-03 | 2024-04-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-05 | 2024-02-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-16 | 2024-01-30 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-18 | 2024-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-18 | 2024-01-09 | 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 | 2023-12-07 | 2024-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-07 | 2024-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-07 | 2024-01-04 | 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 | 2023-12-07 | 2024-01-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-07 | 2024-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-07 | 2024-01-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-07 | 2024-01-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-20 | 2023-11-20 | 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 | 2023-10-04 | 2023-10-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-04 | 2023-10-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-10-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-26 | 2023-07-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-25 | 2023-04-25 | 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 | 2022-09-20 | 2022-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-08-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-09 | 2022-01-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-09 | 2022-01-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-09 | 2022-01-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-09 | 2022-01-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide appropriate foot care. | Health | 2021-12-09 | 2022-01-10 | Y |
| 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 | 2021-12-09 | 2022-01-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-09 | 2022-01-10 | Y |
| 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 | 2021-12-09 | 2022-01-10 | Y |
| 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 | 2021-12-09 | 2022-01-10 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-12-09 | 2022-01-10 | Y |
| 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 | 2021-12-09 | 2022-01-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-01-10 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-10 | Y |
| Keep all essential equipment working safely. | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-09 | 2022-01-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-09 | 2022-01-10 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-13 | 2021-12-27 | 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 | 2021-12-13 | 2021-12-27 | 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 | 2021-12-13 | 2021-12-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-12-13 | 2021-12-27 | 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 | 2021-12-13 | 2021-12-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-20 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-04 | 2019-06-24 | 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 | 2019-06-04 | 2019-06-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-18 | 2019-05-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-18 | 2019-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-20 | 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 | 2019-04-18 | 2019-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-18 | 2019-05-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-18 | 2019-05-20 | 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 | 2019-04-18 | 2019-05-20 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-18 | 2019-05-20 | 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 | 2019-04-18 | 2019-05-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-18 | 2019-05-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-04-18 | 2019-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-18 | 2019-05-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-18 | Not Fixed | N |
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