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Deficiency Records for Menlo Park Post Acute
A list of the most recent deficiencies for Menlo Park 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 Menlo Park 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? |
|---|---|---|---|---|
| Have an externally vented heating system. | Fire Safety | 2025-01-29 | 2025-03-14 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-29 | 2025-03-14 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-29 | 2025-03-14 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-29 | 2025-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-08 | 2024-12-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-08 | 2024-12-13 | 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 | 2024-11-08 | 2024-12-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-08 | 2024-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-08 | 2024-12-13 | 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 | 2024-11-08 | 2024-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-08 | 2024-12-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-11-08 | 2024-12-13 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-11-08 | 2024-12-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-11-08 | 2024-12-13 | 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 | 2024-11-08 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-08 | 2024-12-13 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-11-08 | 2024-12-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-11-14 | 2024-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-14 | 2024-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-08 | 2024-10-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-06-06 | 2024-06-28 | Y |
| 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 | 2023-07-31 | 2023-09-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-31 | 2023-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-31 | 2023-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-31 | 2023-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-09-13 | Y |
| 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 | 2023-07-31 | 2023-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-09-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-02 | 2023-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-02 | 2023-06-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-04 | 2023-01-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-16 | 2022-10-14 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-25 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-01 | 2019-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-07-01 | 2019-07-31 | 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 | 2019-07-01 | 2019-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-01 | 2019-07-31 | N |
| 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 | 2019-07-01 | 2019-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-01 | 2019-07-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-25 | 2019-07-31 | 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 | 2019-06-25 | 2019-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Meet other general requirements. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
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