A list of the most recent deficiencies for Pleasant Hill Post Acute. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-23 | 2022-07-28 | 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 | 2022-06-23 | 2022-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-16 | 2022-06-16 | 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 | 2022-06-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-07 | 2019-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-26 | 2019-10-26 | 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 | 2019-09-26 | 2019-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-10-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-09 | 2018-09-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-09 | 2018-09-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-09 | 2018-09-09 | 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 | 2018-08-09 | 2018-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-09 | N |
