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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? |
---|---|---|---|---|
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 |
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 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-26 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
Dispose of garbage and refuse properly. | Health | 2024-07-26 | Not Fixed | N |
Provide and implement an infection prevention and control program. | Health | 2024-07-26 | Not Fixed | 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 | Not Fixed | N |
Address subsistence needs for staff and patients. | Fire Safety | 2024-07-26 | Not Fixed | N |
Establish staff and initial training requirements. | Fire Safety | 2024-07-26 | Not Fixed | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-26 | Not Fixed | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-26 | Not Fixed | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-26 | Not Fixed | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-26 | Not Fixed | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-26 | Not Fixed | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-26 | Not Fixed | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-26 | Not Fixed | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-26 | Not Fixed | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-26 | Not Fixed | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-26 | Not Fixed | N |
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