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Deficiency Records for San Joaquin Nursing Center and Rehabilitation Cent
A list of the most recent deficiencies for San Joaquin Nursing Center and Rehabilitation Cent. 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 San Joaquin Nursing Center and Rehabilitation Cent. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-19 | 2024-10-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-24 | 2024-10-01 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-08-27 | 2024-09-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-29 | 2024-09-26 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-08-21 | 2024-09-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-01 | 2024-09-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-16 | 2024-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-03 | 2024-08-08 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-03 | 2024-08-08 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-05-31 | 2024-07-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-01 | 2024-05-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-26 | 2024-03-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-16 | 2024-02-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-02-25 | 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 | 2024-01-25 | 2024-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-25 | 2024-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-25 | 2024-02-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-25 | 2024-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-25 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-01-25 | 2024-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-01-31 | 2024-02-22 | 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 | 2024-01-31 | 2024-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-31 | 2024-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-02 | 2023-10-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-24 | 2023-09-08 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-24 | 2023-09-08 | Y |
| 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 | 2023-06-01 | 2023-06-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-17 | 2023-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-28 | 2023-04-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-28 | 2023-04-24 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-03-28 | 2023-04-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-28 | 2023-04-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-04-24 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-03-28 | 2023-04-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-10 | 2023-03-24 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-03-01 | 2023-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-01 | 2023-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-02 | 2023-02-24 | 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 | 2023-01-26 | 2023-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-02-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-09 | 2022-12-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2022-12-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-05 | 2022-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-09-21 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-30 | 2022-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-07-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-21 | 2022-07-24 | Y |
| 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 | 2022-06-09 | 2022-06-28 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-03 | 2022-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-22 | 2022-05-10 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-04-13 | 2022-05-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Develop a communication plan. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-02-15 | 2022-03-17 | 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 | 2022-02-15 | 2022-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-11 | 2022-03-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-11 | 2022-03-10 | 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 | 2022-02-11 | 2022-03-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-11 | 2022-03-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-11 | 2022-03-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-11 | 2022-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-11 | 2022-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-11 | 2022-03-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-02-11 | 2022-03-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-11 | 2022-03-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-02-11 | 2022-03-10 | 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 | 2022-02-11 | 2022-03-10 | 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 | 2022-02-11 | 2022-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-10 | 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 | 2022-02-14 | 2022-02-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-31 | 2022-02-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-07 | 2022-02-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-16 | 2022-01-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-16 | 2022-01-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-09 | 2020-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-09 | 2020-02-04 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-09 | 2020-02-04 | N |
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