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Deficiency Records for Tracy Nursing and Rehabilitation Center
A list of the most recent deficiencies for Tracy Nursing and Rehabilitation 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 Tracy Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-09-05 | 2024-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-05 | 2024-09-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-30 | 2024-09-08 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-30 | 2024-09-08 | 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 | 2024-08-30 | 2024-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-30 | 2024-09-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-30 | 2024-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-30 | 2024-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-09-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-30 | 2024-09-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-30 | 2024-09-08 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-30 | 2024-09-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-30 | 2024-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-30 | 2024-09-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-08-30 | 2024-09-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-30 | 2024-09-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-14 | 2024-08-22 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-08-14 | 2024-08-22 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-14 | 2024-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-03-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-06 | 2024-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-30 | 2024-01-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-09-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-18 | 2023-09-14 | 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 | 2023-08-18 | 2023-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-09-14 | N |
| Post nurse staffing information every day. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-18 | 2023-09-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-18 | 2023-09-14 | 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 | 2023-08-18 | 2023-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-18 | 2023-09-14 | N |
| Keep all essential equipment working safely. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-02-22 | 2023-03-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-04-10 | 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 | 2019-02-07 | 2019-04-10 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-02-07 | 2019-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-07 | 2019-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-07 | 2019-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-07 | 2019-04-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-07 | 2019-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
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