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Deficiency Records for Los Altos Sub-Acute and Rehabilitation Center
A list of the most recent deficiencies for Los Altos Sub-Acute and Rehabilitation 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 Los Altos Sub-Acute and Rehabilitation 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-25 | 2024-10-10 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-25 | 2024-10-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-03 | 2024-07-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-03 | 2024-07-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-18 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-02-05 | Y |
| Have policies on smoking. | Health | 2023-12-07 | 2024-01-05 | 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 | 2023-11-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-26 | 2023-11-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-21 | 2023-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-09 | 2023-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-09 | 2023-02-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-23 | 2022-10-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-10 | 2022-08-23 | Y |
| 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 | 2022-03-15 | 2022-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-15 | 2022-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-15 | 2022-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-15 | 2022-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-15 | 2022-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-15 | 2022-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-15 | 2022-04-14 | 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 | 2022-03-15 | 2022-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-15 | 2022-04-14 | 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 | 2022-03-15 | 2022-04-14 | 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 | 2022-03-15 | 2022-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-15 | 2022-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-15 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-15 | 2022-04-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-15 | 2022-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-15 | 2022-04-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-02 | 2022-03-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-03-15 | 2022-03-18 | 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 | 2022-03-15 | 2022-03-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-15 | 2022-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-15 | 2022-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-03-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-15 | 2022-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-15 | 2022-03-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-24 | 2022-01-15 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-07 | 2020-01-30 | 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 | 2020-01-07 | 2020-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2020-01-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-22 | 2020-01-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-22 | 2020-01-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-22 | 2020-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2020-01-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-22 | 2020-01-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-22 | 2020-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2020-01-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-11-22 | 2020-01-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-22 | 2020-01-02 | 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 | 2019-11-22 | 2020-01-02 | 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 | 2019-11-22 | 2020-01-02 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-11-22 | 2020-01-02 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-22 | 2020-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2020-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2020-01-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-10 | 2019-02-01 | 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 | 2019-01-10 | 2019-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-10-19 | 2018-11-18 | 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 | 2018-10-19 | 2018-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-19 | 2018-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-19 | 2018-11-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-19 | 2018-11-18 | 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 | 2018-10-19 | 2018-11-18 | 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 | 2018-10-19 | 2018-11-18 | 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 | 2018-10-19 | 2018-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-19 | 2018-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2018-11-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-19 | 2018-11-18 | N |
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