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Deficiency Records for Sunnyvale Post-Acute Center
A list of the most recent deficiencies for Sunnyvale 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 Sunnyvale 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-08-15 | 2024-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-07 | 2024-08-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-04 | 2024-03-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-03-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-18 | 2023-10-26 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-09-22 | 2023-10-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-13 | 2023-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-10 | 2023-05-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-10 | 2023-05-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-04-10 | 2023-05-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-10 | 2023-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-10 | 2023-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-10 | 2023-05-09 | 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 | 2023-04-10 | 2023-05-09 | 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 | 2023-04-10 | 2023-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-05-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-04-10 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-10 | 2023-05-09 | N |
| Report COVID19 data to residents and families. | Health | 2023-04-10 | 2023-05-09 | 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 | 2023-04-10 | 2023-05-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-23 | 2023-04-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-13 | 2023-01-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-16 | 2022-12-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-01-11 | 2022-01-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Use approved construction type or materials. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-20 | 2020-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-04-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-12 | 2020-04-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-04-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-11 | 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 | 2020-03-12 | 2020-04-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-03-12 | 2020-04-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-12 | 2020-04-11 | 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 | 2020-03-12 | 2020-04-11 | 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 | 2020-03-12 | 2020-04-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-03-12 | 2020-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Establish methods for sharing information. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-20 | 2019-07-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
| 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 | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | 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 | 2019-03-07 | 2019-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-17 | N |
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