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Deficiency Records for Sequoias San Francisco Convalescent Hospital

A list of the most recent deficiencies for Sequoias San Francisco Convalescent Hospital. 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 Sequoias San Francisco Convalescent Hospital. 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?
Provide emergency officials' contact information. Fire Safety 2024-12-04 2025-01-13 N
Use approved construction type or materials. Fire Safety 2024-12-04 2025-01-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-12-04 2025-01-13 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-12-04 2025-01-13 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-12-04 2025-01-13 N
Have an alternate power supply for its alarm system. Fire Safety 2024-12-04 2025-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-12-04 2025-01-13 N
Provide a written emergency evacuation plan. Fire Safety 2024-12-04 2025-01-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-12-04 2025-01-13 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-11-22 2024-12-31 N
Ensure medication error rates are not 5 percent or greater. Health 2024-11-22 2024-12-31 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-12 2023-07-10 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 2023-05-12 2023-07-10 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 2023-05-12 2023-07-10 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-12 2023-07-10 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 2023-05-12 2023-07-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-12 2023-07-10 N
Provide and implement an infection prevention and control program. Health 2023-05-12 2023-07-10 N
Use approved construction type or materials. Fire Safety 2023-05-16 2023-06-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-05-16 2023-06-08 N
Provide properly protected cooking facilities. Fire Safety 2023-05-16 2023-06-08 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-05-16 2023-06-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-05-16 2023-06-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-16 2023-06-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-16 2023-06-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-16 2023-06-08 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-05-16 2023-06-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-16 2023-06-08 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 2019-08-30 2019-11-07 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 2019-08-30 2019-11-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-08-30 2019-11-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-10-02 2019-10-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-02 2019-10-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-10-02 2019-10-22 N
Meet requirements for the use of electrical equipment. Fire Safety 2019-10-02 2019-10-22 N

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