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Deficiency Records for Pacifica Nursing and Rehabilitation Center
A list of the most recent deficiencies for Pacifica Nursing 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 Pacifica Nursing 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-06-04 | 2024-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-28 | 2023-09-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-13 | 2019-11-18 | 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 | 2019-09-13 | 2019-11-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-29 | 2018-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2018-12-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-29 | 2018-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-29 | 2018-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-29 | 2018-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-29 | 2018-12-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-17 | 2018-10-16 | 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 | 2018-09-17 | 2018-10-16 | 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 | 2018-09-17 | 2018-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-17 | 2018-10-16 | N |
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