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Deficiency Records for Salinas Valley Post Acute

A list of the most recent deficiencies for Salinas Valley 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 Salinas Valley 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?
Ensure each resident receives an accurate assessment. Health 2024-08-22 2024-09-02 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-14 2024-08-26 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-14 2024-08-26 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-08-01 2024-08-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-10 2024-06-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-06 2024-03-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-11 2023-09-06 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-08-11 2023-09-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-11 2023-09-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-11 2023-09-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-11 2023-09-06 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 2023-08-11 2023-09-06 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-11 2023-09-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-11 2023-09-06 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 2023-08-11 2023-09-06 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-11 2023-09-06 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 2023-08-11 2023-09-06 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-11 2023-09-06 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 2023-08-11 2023-09-06 N
Provide and implement an infection prevention and control program. Health 2023-08-11 2023-09-06 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 2023-08-11 2023-09-06 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-14 2023-08-31 N
Establish staff and initial training requirements. Fire Safety 2023-08-14 2023-08-31 N
Conduct testing and exercise requirements. Fire Safety 2023-08-14 2023-08-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-14 2023-08-31 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 2023-08-14 2023-08-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-14 2023-08-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-14 2023-08-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-14 2023-08-31 N
Provide and implement an infection prevention and control program. Health 2023-05-11 2023-05-26 Y
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 2023-04-28 2023-05-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-20 2023-05-19 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 2023-04-27 2023-05-12 Y
Provide and implement an infection prevention and control program. Health 2023-01-11 2023-01-21 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-08-03 2022-10-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-08 2022-09-01 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-08-08 2022-09-01 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 2022-03-30 2022-04-29 Y
Provide and implement an infection prevention and control program. Health 2022-03-30 2022-04-29 Y
Ensure each resident receives an accurate assessment. Health 2022-03-16 2022-03-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-25 2022-02-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-29 2021-11-28 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-12-18 2020-01-13 N
Conduct testing and exercise requirements. Fire Safety 2019-12-18 2020-01-13 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-12-18 2020-01-13 N
Provide properly protected cooking facilities. Fire Safety 2019-12-18 2020-01-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-12-18 2020-01-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-12-18 2020-01-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-18 2020-01-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-18 2020-01-13 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2019-12-18 2020-01-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-18 2020-01-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-18 2020-01-13 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2019-10-17 2019-11-13 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-10-17 2019-11-13 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2019-10-17 2019-11-13 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 2019-10-17 2019-11-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-17 2019-11-13 N
Provide activities to meet all resident's needs. Health 2019-10-17 2019-11-13 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-10-17 2019-11-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-17 2019-11-13 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-10-17 2019-11-13 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-10-17 2019-11-13 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 2019-10-17 2019-11-13 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 2019-10-17 2019-11-13 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 2019-10-17 2019-11-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-17 2019-11-13 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 2019-10-17 2019-11-13 N
Provide and implement an infection prevention and control program. Health 2019-10-17 2019-11-13 N
Provide properly protected cooking facilities. Fire Safety 2018-11-29 2019-01-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-11-29 2019-01-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-11-29 2019-01-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-11-29 2019-01-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-11-29 2019-01-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-21 2018-10-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-09-21 2018-10-26 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 2018-09-21 2018-10-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-09-21 2018-10-26 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 2018-09-21 2018-10-26 N
Ensure medication error rates are not 5 percent or greater. Health 2018-09-21 2018-10-26 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 2018-09-21 2018-10-26 N
Provide and implement an infection prevention and control program. Health 2018-09-21 2018-10-26 N

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