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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? |
---|---|---|---|---|
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 |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-04 | 2021-12-28 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-22 | 2019-04-16 | 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 | 2019-03-22 | 2019-04-16 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-03-22 | 2019-04-16 | N |
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 | 2019-03-22 | 2019-04-16 | 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 | 2019-03-22 | 2019-04-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-22 | 2019-04-16 | N |
Provide activities to meet all resident's needs. | Health | 2019-03-22 | 2019-04-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-22 | 2019-04-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-22 | 2019-04-16 | 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 | 2019-03-22 | 2019-04-16 | 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 | 2019-03-22 | 2019-04-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-04-16 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-16 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-22 | 2019-04-16 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-03-22 | 2019-04-16 | N |
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