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Deficiency Records for San Pedro Manor

A list of the most recent deficiencies for San Pedro Manor. 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 San Pedro Manor. 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?
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 2024-06-27 2024-09-10 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2024-06-27 2024-09-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-06-27 2024-09-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-27 2024-09-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-27 2024-08-05 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-27 2024-08-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-06-27 2024-08-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-27 2024-08-05 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-06-27 2024-08-05 N
Ensure that residents are free from significant medication errors. Health 2024-06-27 2024-08-05 N
Provide and implement an infection prevention and control program. Health 2024-06-27 2024-08-05 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 2024-06-27 2024-08-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-27 2024-08-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-27 2024-08-05 Y
Keep all essential equipment working safely. Health 2024-06-27 2024-08-05 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-27 2024-08-05 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-06-27 2024-07-30 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-06-27 2024-07-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-27 2024-07-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-27 2024-07-30 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2024-06-27 2024-07-30 N
Install proper backup exit lighting. Fire Safety 2024-06-27 2024-07-16 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 2024-06-27 2024-07-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-27 2024-07-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-06-27 2024-06-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-27 2024-06-30 N
Have proper medical gas storage and administration areas. Fire Safety 2024-06-27 2024-06-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-06-27 2024-06-29 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-27 2024-06-28 N
Provide and implement an infection prevention and control program. Health 2024-05-17 2024-05-18 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-04-02 2024-04-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-17 2023-12-22 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-12 2023-05-15 N
Ensure each resident receives an accurate assessment. Health 2023-05-12 2023-05-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-12 2023-05-15 N
Dispose of garbage and refuse properly. Health 2023-05-12 2023-05-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-12 2023-05-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-10 2023-05-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-10 2023-05-15 N
Have proper medical gas storage and administration areas. Fire Safety 2023-05-10 2023-05-15 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-05-10 2023-05-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-23 2023-03-27 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-23 2023-03-27 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2023-03-23 2023-03-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-23 2023-01-26 Y
Ensure each resident receives an accurate assessment. Health 2023-01-23 2023-01-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-23 2023-01-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-23 2023-01-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-02 2022-12-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-02 2022-12-05 Y
Respond appropriately to all alleged violations. Health 2022-12-02 2022-12-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-02 2022-12-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-02 2022-12-05 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 2022-12-02 2022-12-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-02 2022-12-05 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-06-27 2022-06-29 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-27 2022-06-29 Y
Keep all essential equipment working safely. Health 2022-06-27 2022-06-29 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-16 2022-05-02 N
Provide and implement an infection prevention and control program. Health 2022-03-17 2022-04-21 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-03-17 2022-04-21 Y
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 2022-03-16 2022-04-08 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-03-16 2022-04-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-03-16 2022-04-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-16 2022-04-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-16 2022-04-05 N
Have correct number of accessible exits for each story. Fire Safety 2022-03-16 2022-03-18 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-03-16 2022-03-18 N
Have an alternate power supply for its alarm system. Fire Safety 2022-03-16 2022-03-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-09 2022-03-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-14 2022-01-15 Y

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