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Deficiency Records for Pacific Care Nursing Center
A list of the most recent deficiencies for Pacific Care Nursing 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 Pacific Care Nursing 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-25 | 2024-08-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-25 | 2024-08-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-25 | 2024-08-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-25 | 2024-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-25 | 2024-08-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-25 | 2024-08-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-25 | 2024-08-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-25 | 2024-08-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-25 | 2024-08-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-25 | 2024-08-21 | 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 | 2024-07-25 | 2024-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-25 | 2024-08-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-25 | 2024-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-08-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-08-01 | 2024-08-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-26 | 2024-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-26 | 2024-07-26 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-18 | 2024-04-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-02-26 | 2024-03-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-16 | 2024-03-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-10 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-10 | 2024-02-09 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-12-11 | 2024-01-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-09 | 2023-11-08 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-10-18 | 2023-11-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-08 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-07-12 | 2023-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-19 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-12-14 | 2022-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-17 | 2022-01-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-12-17 | 2022-01-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-12-17 | 2022-01-14 | 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 | 2021-12-17 | 2022-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-01-14 | 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 | 2021-12-17 | 2021-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-17 | 2021-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-17 | 2021-12-31 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2021-12-17 | 2021-12-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-08 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-08 | 2020-01-27 | 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 | 2019-12-08 | 2020-01-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-08 | 2020-01-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-08 | 2020-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-08 | 2020-01-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-12-08 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-08 | 2020-01-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-08 | 2020-01-13 | 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 | 2019-12-08 | 2020-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-08 | 2020-01-13 | 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 | 2019-12-08 | 2020-01-13 | 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 | 2019-12-08 | 2020-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-08 | 2020-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-08 | 2020-01-13 | N |
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