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Deficiency Records for Santa Clarita Post-Acute Care Center

A list of the most recent deficiencies for Santa Clarita 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 Santa Clarita 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 2024-08-17 2024-09-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-17 2024-09-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-29 2024-09-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-29 2024-09-01 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-07-29 2024-09-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-29 2024-09-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-02 2024-08-01 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-07-02 2024-08-01 Y
Provide and implement an infection prevention and control program. Health 2024-06-04 2024-06-24 Y
Give the resident's representative the ability to exercise the resident's rights. Health 2024-03-13 2024-03-25 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-09 2024-03-05 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-09 2024-03-05 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-09 2024-03-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-02-09 2024-03-05 N
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 2024-02-09 2024-03-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-09 2024-03-05 N
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 2024-02-09 2024-03-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-09 2024-03-05 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 2024-02-09 2024-03-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-02-09 2024-03-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-09 2024-03-05 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-02-09 2024-03-05 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-02-09 2024-03-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-09 2024-03-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-09 2024-03-05 N
Post nurse staffing information every day. Health 2024-02-09 2024-03-05 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 2024-02-09 2024-03-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-09 2024-03-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-09 2024-03-05 N
Keep all essential equipment working safely. Health 2024-02-09 2024-03-05 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-02-09 2024-03-05 Y
Ensure that residents are free from significant medication errors. Health 2024-02-09 2024-03-05 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-14 2024-03-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-14 2024-03-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-02-14 2024-03-05 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-02-14 2024-03-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-14 2024-03-05 N
Provide and implement an infection prevention and control program. Health 2024-02-01 2024-02-16 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-25 2023-10-09 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-09-25 2023-10-09 N
Provide and implement an infection prevention and control program. Health 2023-09-25 2023-10-09 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 2023-02-03 2023-03-30 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-02-03 2023-03-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-03 2023-03-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-02-03 2023-02-27 N
Keep residents' personal and medical records private and confidential. Health 2023-02-03 2023-02-27 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-02-03 2023-02-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-03 2023-02-27 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 2023-02-03 2023-02-27 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-02-03 2023-02-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-03 2023-02-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-03 2023-02-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-03 2023-02-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-02-03 2023-02-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-03 2023-02-27 N
Ensure that residents are free from significant medication errors. Health 2023-02-03 2023-02-27 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 2023-02-03 2023-02-27 N
Provide and implement an infection prevention and control program. Health 2023-02-03 2023-02-27 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-02-03 2023-02-27 N
List the names and contact information of those in the facility. Fire Safety 2023-02-08 2023-02-27 N
Provide emergency officials' contact information. Fire Safety 2023-02-08 2023-02-27 N
Implement emergency and standby power systems. Fire Safety 2023-02-08 2023-02-27 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2023-02-08 2023-02-27 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-02-08 2023-02-27 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 2023-02-08 2023-02-27 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 2023-02-08 2023-02-27 N
Install an approved automatic sprinkler system. Fire Safety 2023-02-08 2023-02-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-08 2023-02-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-02-08 2023-02-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-08 2023-02-27 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-02-08 2023-02-27 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-02-08 2023-02-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-08 2023-02-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-08 2023-02-27 N
Have proper medical gas storage and administration areas. Fire Safety 2023-02-08 2023-02-27 N
Provide and implement an infection prevention and control program. Health 2022-11-04 2022-11-14 Y
Provide and implement an infection prevention and control program. Health 2022-08-17 2022-09-02 Y
Provide and implement an infection prevention and control program. Health 2022-01-10 2022-01-18 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-12 2021-10-22 Y
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 2019-08-06 2019-09-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-08-06 2019-09-05 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-08-06 2019-09-05 N
Ensure each resident receives an accurate assessment. Health 2019-08-06 2019-09-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-08-06 2019-09-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-08-06 2019-09-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-08-06 2019-09-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-08-06 2019-09-05 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 2019-08-06 2019-09-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-08-06 2019-09-05 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 2019-08-06 2019-09-05 N
Ensure medication error rates are not 5 percent or greater. Health 2019-08-06 2019-09-05 N
Ensure that residents are free from significant medication errors. Health 2019-08-06 2019-09-05 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2019-08-06 2019-09-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-08-06 2019-09-05 N
Provide and implement an infection prevention and control program. Health 2019-08-06 2019-09-05 N
Address patient/client population and determine types of services needed. Fire Safety 2019-08-03 2019-09-03 N
Address subsistence needs for staff and patients. Fire Safety 2019-08-03 2019-09-03 N
Establish staff and initial training requirements. Fire Safety 2019-08-03 2019-09-03 N
Implement emergency and standby power systems. Fire Safety 2019-08-03 2019-09-03 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-08-03 2019-09-03 N
Provide rooms that can be unlocked from inside without a key. Fire Safety 2019-08-03 2019-09-03 N
Install proper backup exit lighting. Fire Safety 2019-08-03 2019-09-03 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 2019-08-03 2019-09-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-08-03 2019-09-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-08-03 2019-09-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-03 2019-09-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-08-03 2019-09-03 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-08-06 Not Fixed N

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