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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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