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Deficiency Records for Pacific Palms Healthcare
A list of the most recent deficiencies for Pacific Palms Healthcare. 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 Palms Healthcare. 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? |
|---|---|---|---|---|
| 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 | 2024-10-10 | 2024-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-10 | 2024-11-06 | 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 | 2024-10-10 | 2024-11-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-10-10 | 2024-11-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-10 | 2024-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-10 | 2024-11-06 | 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 | 2024-10-10 | 2024-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-10 | 2024-11-06 | 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 | 2024-10-10 | 2024-11-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-10-10 | 2024-11-06 | 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 | 2024-10-10 | 2024-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-10 | 2024-11-06 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-10-10 | 2024-11-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-10 | 2024-11-06 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-07 | 2023-12-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-06 | 2023-11-07 | 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 | 2023-10-06 | 2023-11-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-06 | 2023-11-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-06 | 2023-11-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-06 | 2023-11-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-06 | 2023-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-11-07 | 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 | 2023-10-06 | 2023-11-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-06 | 2023-11-07 | N |
| Provide appropriate foot care. | Health | 2023-10-06 | 2023-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-06 | 2023-11-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-06 | 2023-11-07 | 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 | 2023-10-06 | 2023-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-06 | 2023-11-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-06 | 2023-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-11-07 | N |
| Keep all essential equipment working safely. | Health | 2023-10-06 | 2023-11-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-06 | 2023-11-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-15 | 2023-11-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-28 | 2022-11-24 | 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 | 2022-10-28 | 2022-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-11-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-10-28 | 2022-11-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-28 | 2022-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-28 | 2022-11-24 | 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 | 2022-10-28 | 2022-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2022-11-24 | 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 | 2022-10-28 | 2022-11-24 | N |
| Post nurse staffing information every day. | Health | 2022-10-28 | 2022-11-24 | 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 | 2022-10-28 | 2022-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-28 | 2022-11-24 | 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 | 2022-10-28 | 2022-11-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-10-28 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-28 | 2022-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-28 | 2022-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-09 | 2022-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-05-27 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-12 | 2022-05-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-06 | 2022-04-15 | Y |
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