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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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