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Deficiency Records for Napa Post Acute
A list of the most recent deficiencies for Napa 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 Napa 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 residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-17 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-12-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-14 | 2023-10-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-03 | 2023-08-15 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-30 | 2023-01-17 | 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 | 2022-11-30 | 2023-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-30 | 2023-01-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-18 | 2022-12-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-18 | 2022-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2022-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-12 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-18 | 2022-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-18 | 2022-12-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-18 | 2022-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2022-12-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-18 | 2022-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-18 | 2022-12-12 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-18 | 2022-12-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-18 | 2022-12-12 | 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 | 2022-11-18 | 2022-12-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-10 | 2022-09-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-10 | 2022-09-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-06-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-18 | 2022-06-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-24 | 2022-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-01 | 2022-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-06 | 2021-11-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-08 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-08 | 2019-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-08 | 2019-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-08 | 2019-11-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-09 | 2019-11-07 | 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 | 2019-08-09 | 2019-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-09 | 2019-10-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-09 | 2019-10-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-08-09 | 2019-10-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-09 | 2019-10-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-25 | 2018-10-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-31 | 2018-09-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-31 | 2018-09-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-31 | 2018-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-31 | 2018-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-31 | 2018-09-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-31 | 2018-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-31 | 2018-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-31 | 2018-09-26 | N |
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