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Deficiency Records for Sierra Post Acute
A list of the most recent deficiencies for Sierra 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 Sierra 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? |
---|---|---|---|---|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-20 | 2024-04-07 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-20 | 2024-04-07 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2023-11-14 | 2023-12-21 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-14 | 2023-12-21 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-24 | 2023-12-13 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-11-17 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-24 | 2023-11-17 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-24 | 2023-11-17 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-24 | 2023-11-17 | N |
Provide activities to meet all resident's needs. | Health | 2023-10-24 | 2023-11-17 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-10-24 | 2023-11-17 | 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 | 2023-10-24 | 2023-11-17 | N |
Keep all essential equipment working safely. | Health | 2023-10-24 | 2023-11-17 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-24 | 2023-11-17 | 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 | 2023-10-24 | 2023-11-17 | Y |
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 | 2023-10-24 | 2023-11-17 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-05-06 | Y |
Have exits that are accessible at all times. | Fire Safety | 2022-10-12 | 2022-10-14 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-12 | 2022-10-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-10-14 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-15 | 2022-09-22 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-15 | 2022-09-22 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-15 | 2022-09-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-09-22 | N |
Provide activities to meet all resident's needs. | Health | 2022-09-15 | 2022-09-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-09-22 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-09-15 | 2022-09-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-09-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-15 | 2022-09-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-15 | 2022-09-22 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-15 | 2022-09-22 | 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 | 2022-09-15 | 2022-09-22 | N |
Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-09-22 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-02-24 | 2022-03-25 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-24 | 2022-03-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-24 | 2022-03-18 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2021-07-01 | 2021-08-30 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-01 | 2021-08-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-01 | 2021-08-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-01 | 2021-08-07 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-01 | 2021-08-06 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-27 | 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 | 2021-06-10 | 2021-07-23 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-01 | 2021-07-22 | N |
Meet other general requirements that are deficient. | Fire Safety | 2021-07-01 | 2021-07-20 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-01 | 2021-07-20 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-10 | 2021-05-06 | N |
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