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Deficiency Records for Fresno Postacute Care
A list of the most recent deficiencies for Fresno Postacute Care. 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 Fresno Postacute Care. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-16 | 2024-09-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-16 | 2024-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-16 | 2024-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-16 | 2024-09-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-16 | 2024-09-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-16 | 2024-09-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-16 | 2024-09-09 | 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 | 2024-08-16 | 2024-09-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-08-16 | 2024-09-09 | 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 | 2024-08-16 | 2024-09-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-16 | 2024-09-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-16 | 2024-09-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-16 | 2024-09-09 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-16 | 2024-09-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-16 | 2024-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-16 | 2024-09-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-08-16 | 2024-09-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-16 | 2024-09-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-16 | 2024-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-19 | 2024-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-19 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-19 | 2024-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-19 | 2024-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-31 | 2023-11-30 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-08-31 | 2023-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-11-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-31 | 2023-11-30 | 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 | 2023-08-31 | 2023-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-31 | 2023-11-30 | 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 | 2023-08-31 | 2023-11-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-31 | 2023-11-30 | 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 | 2023-08-31 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-11-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-31 | 2023-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-15 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-06 | 2023-09-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-21 | 2023-07-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-06-13 | 2023-06-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-19 | 2021-12-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2021-12-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-19 | 2021-12-16 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-19 | 2021-12-16 | 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 | 2021-11-19 | 2021-12-16 | Y |
| Post nurse staffing information every day. | Health | 2021-11-19 | 2021-12-16 | Y |
| 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 | 2021-11-19 | 2021-12-16 | Y |
| 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 | 2021-11-19 | 2021-12-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2021-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-12-16 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-19 | 2021-12-16 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-19 | 2021-12-16 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-23 | 2021-12-13 | 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 | 2021-11-23 | 2021-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
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