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Deficiency Records for South Marin Health and Wellness Center
View the most recent health deficiencies and inspection results for South Marin Health and Wellness Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for South Marin Health and Wellness Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-23 | 2026-02-12 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-23 | 2026-02-12 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-12-04 | 2026-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-04 | 2026-01-04 | 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 | 2025-12-04 | 2026-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-04 | 2026-01-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-04 | 2026-01-04 | 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 | 2025-12-04 | 2026-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-04 | 2026-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-04 | 2026-01-04 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-04 | 2026-01-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-12-04 | 2026-01-04 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-12-04 | 2026-01-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-04 | 2026-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-04 | 2026-01-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-04 | 2026-01-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-04 | 2026-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-04 | 2026-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-04 | 2026-01-02 | 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 | 2024-11-22 | 2024-12-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-22 | 2024-12-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-22 | 2024-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2024-12-18 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-11-22 | 2024-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-22 | 2024-12-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-22 | 2024-12-18 | 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 | 2024-11-22 | 2024-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-22 | 2024-12-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-22 | 2024-12-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-22 | 2024-12-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-11-22 | 2024-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-22 | 2024-12-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-22 | 2024-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-22 | 2024-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-22 | 2024-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-12 | 2024-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-18 | 2024-04-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-07-07 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-17 | 2022-07-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-17 | 2022-07-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-17 | 2022-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-17 | 2022-07-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-17 | 2022-07-07 | 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 | 2022-05-17 | 2022-07-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-17 | 2022-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-06-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-05-17 | 2022-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-17 | 2022-06-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-17 | 2022-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-17 | 2022-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-17 | 2022-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-17 | 2022-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-17 | 2022-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-06-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-17 | 2022-06-10 | 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 | 2022-05-17 | 2022-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-17 | 2022-06-10 | N |