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Deficiency Records for Novato Healthcare Center

A list of the most recent deficiencies for Novato Healthcare 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 Novato Healthcare 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-17 2024-08-13 Y
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 2024-01-11 2024-02-21 N
Keep residents' personal and medical records private and confidential. Health 2024-01-11 2024-02-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-11 2024-02-21 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-01-11 2024-02-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-11 2024-02-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-11 2024-02-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-11 2024-02-21 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-01-24 2024-02-15 N
Address subsistence needs for staff and patients. Fire Safety 2024-01-24 2024-02-15 N
Establish policies and procedures for sheltering. Fire Safety 2024-01-24 2024-02-15 N
Establish policies and procedures for medical documentation. Fire Safety 2024-01-24 2024-02-15 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-01-24 2024-02-15 N
Provide primary/alternate means for communication. Fire Safety 2024-01-24 2024-02-15 N
Establish methods for sharing information. Fire Safety 2024-01-24 2024-02-15 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2024-01-24 2024-02-15 N
Provide family notifications of emergency plan. Fire Safety 2024-01-24 2024-02-15 N
Implement emergency and standby power systems. Fire Safety 2024-01-24 2024-02-15 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 2024-01-24 2024-02-15 N
Provide properly protected cooking facilities. Fire Safety 2024-01-24 2024-02-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-24 2024-02-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-24 2024-02-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-24 2024-02-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-01-24 2024-02-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-24 2024-02-15 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-01-24 2024-02-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-24 2024-02-15 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-24 2024-02-15 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-10-25 2023-11-03 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-09 2023-10-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-05 2023-10-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-11 2023-08-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-11 2023-08-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-23 2023-06-19 Y
Respond appropriately to all alleged violations. Health 2023-05-23 2023-06-19 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 2023-02-13 2023-02-24 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 2022-03-18 2022-05-20 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-03-18 2022-05-17 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 2022-04-11 2022-04-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-22 2022-04-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-17 2022-03-28 Y
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 2021-12-02 2022-02-04 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-12-02 2021-12-31 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 2021-11-24 2021-12-20 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-05-12 2021-06-15 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-05-12 2021-06-15 N
Establish policies and procedures for volunteers. Fire Safety 2021-05-12 2021-06-15 N
Use approved construction type or materials. Fire Safety 2021-05-12 2021-06-15 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-05-12 2021-06-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-05-12 2021-06-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-12 2021-06-15 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-12 2021-06-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-23 2021-05-28 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 2021-04-23 2021-05-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-04-23 2021-05-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-04-23 2021-05-28 N
Ensure each resident receives an accurate assessment. Health 2021-04-23 2021-05-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-04-23 2021-05-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-04-23 2021-05-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-23 2021-05-28 N
Provide activities to meet all resident's needs. Health 2021-04-23 2021-05-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-23 2021-05-28 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 2021-04-23 2021-05-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-23 2021-05-28 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 2021-04-23 2021-05-28 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2021-04-23 2021-05-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-04-23 2021-05-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-23 2021-05-28 N
Provide or get specialized rehabilitative services as required for a resident. Health 2021-04-23 2021-05-28 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-04-23 2021-05-28 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-04-23 2021-05-28 N
Provide and implement an infection prevention and control program. Health 2021-04-23 2021-05-28 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-09-10 2019-10-09 N
Address patient/client population and determine types of services needed. Fire Safety 2019-09-10 2019-10-09 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2019-09-10 2019-10-09 N
Provide primary/alternate means for communication. Fire Safety 2019-09-10 2019-10-09 N
Establish staff and initial training requirements. Fire Safety 2019-09-10 2019-10-09 N
Conduct testing and exercise requirements. Fire Safety 2019-09-10 2019-10-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-10 2019-10-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-09-10 2019-10-09 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-08-01 2019-09-19 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-08-01 2019-09-19 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 2019-08-01 2019-09-19 N
Post nurse staffing information every day. Health 2019-08-01 2019-09-19 N

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