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Deficiency Records for Sharp Chula Vista Med Ctr Snf
A list of the most recent deficiencies for Sharp Chula Vista Med Ctr Snf. 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 Sharp Chula Vista Med Ctr Snf. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-10-02 | 2024-11-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-10 | 2024-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-10 | 2024-10-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-10-10 | 2024-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-10 | 2024-10-29 | 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 | 2024-10-10 | 2024-10-29 | N |
| 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 | 2024-10-10 | 2024-10-29 | 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 | 2024-10-10 | 2024-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-10 | 2024-10-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-10-10 | 2024-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-10 | 2024-10-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-10 | 2024-10-29 | 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 | 2024-10-15 | 2024-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-15 | 2024-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-09 | 2024-07-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2023-12-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-09 | 2023-12-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-09 | 2023-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-01 | 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 | 2023-11-09 | 2023-12-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-09 | 2023-12-01 | N |
| 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 | 2023-11-09 | 2023-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-09 | 2023-12-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-09 | 2023-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-01 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-11-09 | 2023-12-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-09 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2023-11-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-14 | 2023-11-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-14 | 2023-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-14 | 2023-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-14 | 2023-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-04-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-19 | 2023-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-19 | 2023-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-19 | 2023-01-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-12-16 | 2023-01-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-16 | 2023-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-16 | 2023-01-16 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-16 | 2023-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-16 | 2023-01-16 | N |
| 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 | 2022-12-16 | 2023-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-01-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-16 | 2023-01-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-16 | 2023-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-10 | 2022-03-16 | Y |
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