A list of the most recent deficiencies for Diablo Valley 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-06 | 2024-02-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-14 | 2023-10-14 | 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 | 2023-09-14 | 2023-10-14 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-14 | 2023-10-14 | 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 | 2023-09-14 | 2023-10-14 | 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 | 2023-09-14 | 2023-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-31 | 2023-09-29 | Y |
| Have policies on smoking. | Health | 2023-08-31 | 2023-09-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-18 | 2023-09-28 | 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 | 2023-09-18 | 2023-09-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-18 | 2023-09-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-11-20 | 2019-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-20 | 2019-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-20 | 2019-12-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-11-20 | 2019-12-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-29 | 2019-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-29 | 2019-09-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-29 | 2019-09-29 | 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 | 2019-08-29 | 2019-09-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-29 | 2019-09-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-29 | 2019-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-29 | 2019-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-28 | 2018-12-20 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-11-28 | 2018-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-28 | 2018-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-27 | 2018-10-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-27 | 2018-10-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-27 | 2018-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-10-27 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-27 | 2018-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-27 | 2018-10-27 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2018-09-27 | 2018-10-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-09-27 | 2018-10-27 | N |
