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Deficiency Records for Yucaipa Hills Post Acute
A list of the most recent deficiencies for Yucaipa Hills 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 Yucaipa Hills 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-13 | 2025-01-24 | Y |
| 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 | 2024-10-18 | 2024-11-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-10-18 | 2024-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-18 | 2024-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-18 | 2024-11-26 | 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 | 2024-10-18 | 2024-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-18 | 2024-11-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-10-18 | 2024-11-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-18 | 2024-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-18 | 2024-11-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-28 | 2024-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-10-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-18 | 2024-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-23 | 2024-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-08 | 2023-08-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-13 | 2023-08-10 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-07-13 | 2023-08-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-21 | 2023-07-07 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-24 | 2023-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-24 | 2023-03-20 | 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 | 2023-02-24 | 2023-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-24 | 2023-03-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-02-24 | 2023-03-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-15 | 2023-02-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-18 | 2023-01-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-01-19 | 2023-01-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-06-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-08-04 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-04 | N |
| Keep all essential equipment working safely. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-01 | 2021-08-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-01 | 2021-08-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-01 | 2021-08-04 | N |
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