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Deficiency Records for Pacific Care Center
A list of the most recent deficiencies for Pacific Care 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 Pacific Care 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-26 | 2024-09-06 | N |
| 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 | 2024-07-26 | 2024-09-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-26 | 2024-09-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-26 | 2024-09-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-26 | 2024-09-06 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-07-26 | 2024-09-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-26 | 2024-09-06 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-26 | 2024-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-09-06 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-07-26 | 2024-09-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-26 | 2024-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-19 | 2024-06-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-19 | 2024-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-06-18 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-19 | 2024-06-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-24 | 2024-06-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-03-27 | 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 | 2023-02-10 | 2023-03-27 | 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 | 2023-02-10 | 2023-03-27 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-02-10 | 2023-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-10 | 2023-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-03-27 | 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 | 2023-02-10 | 2023-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-27 | N |
| Post nurse staffing information every day. | Health | 2023-02-10 | 2023-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-27 | N |
| Meet other general requirements. | Fire Safety | 2023-02-10 | 2023-03-27 | 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 | 2023-02-10 | 2023-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-10 | 2023-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-10 | 2023-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-10 | 2023-03-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-10 | 2023-03-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-10 | 2023-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-10 | 2023-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-16 | 2020-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-16 | 2020-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-01-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-16 | 2020-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-26 | Not Fixed | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-26 | Not Fixed | N |
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