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Deficiency Records for San Diego Post-Acute Center
A list of the most recent deficiencies for San Diego Post-Acute 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 San Diego Post-Acute 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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-09-05 | 2024-10-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-17 | 2024-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-07-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-28 | 2024-06-26 | 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 | 2024-05-01 | 2024-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-20 | 2024-03-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-28 | 2024-01-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-28 | 2024-01-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-30 | 2023-11-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-05 | 2023-10-23 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-10-05 | 2023-10-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-28 | 2023-09-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-10 | 2023-09-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-10 | 2023-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-09-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-10 | 2023-09-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-10 | 2023-09-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-30 | 2023-07-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-27 | 2023-07-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-14 | 2023-04-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-14 | 2023-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-04-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-14 | 2023-04-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-16 | 2023-04-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-16 | 2023-04-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-16 | 2023-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-04-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-28 | 2023-01-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-31 | 2022-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-31 | 2022-11-30 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-09-22 | 2022-10-17 | Y |
| 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 | 2022-09-22 | 2022-10-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-22 | 2022-10-17 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-22 | 2022-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-22 | 2022-10-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-22 | 2022-10-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-22 | 2022-10-17 | 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 | 2022-09-22 | 2022-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-22 | 2022-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-13 | 2022-09-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-16 | 2022-08-23 | 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 | 2022-06-16 | 2022-08-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-16 | 2022-08-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-16 | 2022-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-08-23 | 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 | 2022-06-16 | 2022-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-16 | 2022-08-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-16 | 2022-08-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-16 | 2022-08-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-06-16 | 2022-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-08-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-16 | 2022-08-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-16 | 2022-08-23 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-06-17 | 2022-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-17 | 2022-08-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-08-05 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-22 | 2022-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-07-14 | 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 | 2022-03-24 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-29 | 2019-07-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-05-29 | 2019-07-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-29 | 2019-07-10 | 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 | 2019-05-29 | 2019-07-10 | 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 | 2019-05-29 | 2019-07-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-05-29 | 2019-07-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-29 | 2019-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-29 | 2019-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-29 | 2019-07-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-23 | 2019-06-23 | 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 | 2019-05-23 | 2019-06-23 | 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 | 2019-05-23 | 2019-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-23 | 2019-06-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-23 | 2019-06-23 | 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 | 2019-05-23 | 2019-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-23 | 2019-06-23 | 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 | 2019-05-23 | 2019-06-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-05-23 | 2019-06-23 | 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 | 2019-05-23 | 2019-06-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-05-23 | 2019-06-23 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-05-23 | 2019-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-06-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-23 | 2019-06-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-05-23 | 2019-06-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-05-23 | 2019-06-23 | N |
| Use approved construction type or materials. | Fire Safety | 2018-09-06 | 2018-09-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-06 | 2018-09-25 | 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 | 2018-09-06 | 2018-09-25 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2018-09-06 | 2018-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-06 | 2018-09-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-17 | 2018-06-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-17 | 2018-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-17 | 2018-06-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-17 | 2018-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-17 | 2018-06-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-05-17 | 2018-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-17 | 2018-06-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-17 | 2018-06-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-17 | 2018-06-16 | 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 | 2018-05-17 | 2018-06-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-17 | 2018-06-16 | N |
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