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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? |
|---|---|---|---|---|
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-22 | 2022-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-22 | 2022-04-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-22 | 2022-04-01 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-02-22 | 2022-04-01 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-02-22 | 2022-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-22 | 2022-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-22 | 2022-03-16 | 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 |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-09 | 2017-11-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-09 | 2017-11-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-09 | 2017-11-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-09 | 2017-11-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-09 | 2017-11-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-09 | 2017-11-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-09 | 2017-11-10 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-09 | 2017-11-10 | N |
| Provide or obtain dental services for each resident. | Health | 2017-10-09 | 2017-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
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