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Deficiency Records for Santa Paula Post Acute Center

A list of the most recent deficiencies for Santa Paula Post Acute 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 Paula Post Acute 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?
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-08-20 2024-10-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-14 2024-08-15 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 2024-08-14 2024-08-15 Y
Provide emergency officials' contact information. Fire Safety 2024-06-04 2024-06-18 N
Conduct testing and exercise requirements. Fire Safety 2024-06-04 2024-06-18 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 2024-06-04 2024-06-18 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-06-04 2024-06-18 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-06-04 2024-06-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-04 2024-06-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-04 2024-06-18 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-06-04 2024-06-18 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-06-04 2024-06-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-04 2024-06-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-04 2024-06-18 N
Provide enough food/fluids to maintain a resident's health. Health 2024-06-13 2024-06-16 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-13 2024-06-15 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-03-21 2024-06-14 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-03-21 2024-06-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-06-13 2024-06-13 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-24 2024-05-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-26 2023-11-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-12 2023-10-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-07 2023-03-20 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2022-04-14 2022-04-27 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 2022-04-14 2022-04-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-08 2022-04-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-13 2022-03-03 Y
Have policies on smoking. Health 2022-01-13 2022-03-03 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 2021-12-21 2021-12-23 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-04-29 2021-05-07 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 2021-04-29 2021-05-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-04-29 2021-05-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-04-29 2021-05-07 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-04-29 2021-05-07 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 2021-04-29 2021-05-07 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-04-29 2021-05-07 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-04-29 2021-05-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-21 2021-05-06 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 2021-04-21 2021-05-06 N
Provide properly protected cooking facilities. Fire Safety 2021-04-21 2021-05-06 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2021-04-21 2021-05-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-04-21 2021-05-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-04-21 2021-05-06 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-04-29 2021-05-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-29 2021-05-04 N
Use approved construction type or materials. Fire Safety 2019-11-18 2019-12-04 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-11-18 2019-12-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-18 2019-12-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-18 2019-12-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-18 2019-12-04 N
Have proper medical gas storage and administration areas. Fire Safety 2019-11-18 2019-12-04 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 2019-10-09 2019-11-20 N
Assess the resident when there is a significant change in condition Health 2019-10-09 2019-11-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-09 2019-11-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-10-09 2019-11-20 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 2019-10-09 2019-11-20 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 2019-10-09 2019-11-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-09 2019-11-20 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-10-09 2019-11-20 N
Provide and implement an infection prevention and control program. Health 2019-10-09 2019-11-20 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2019-10-09 2019-11-20 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-10-09 2019-11-20 N

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