A list of the most recent deficiencies for Socal Post-Acute Care. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-18 | 2024-02-11 | 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 | 2024-01-18 | 2024-02-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-18 | 2024-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-14 | 2024-02-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-14 | 2024-02-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-14 | 2024-02-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-14 | 2024-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-14 | 2024-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-14 | 2024-02-08 | 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 | 2024-01-14 | 2024-02-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-14 | 2024-02-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-14 | 2024-02-08 | 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 | 2024-01-14 | 2024-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-14 | 2024-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-14 | 2024-02-08 | 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 | 2023-12-05 | 2024-01-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-20 | 2023-03-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-02-20 | 2023-03-16 | 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 | 2023-02-20 | 2023-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-20 | 2023-03-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-20 | 2023-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-20 | 2023-03-16 | 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 | 2023-02-20 | 2023-03-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-20 | 2023-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-20 | 2023-03-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-02-19 | 2023-03-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-19 | 2023-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-19 | 2023-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-19 | 2023-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-01-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-08-13 | 2021-09-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-13 | 2021-09-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-22 | 2020-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-22 | 2020-01-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-22 | 2020-01-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-22 | 2020-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-22 | 2020-01-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-22 | 2020-01-27 | 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 | 2019-12-22 | 2020-01-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-22 | 2020-01-27 | 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 | 2019-12-22 | 2020-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-22 | 2020-01-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-22 | 2020-01-27 | 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 | 2019-12-22 | 2020-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-22 | 2020-01-27 | N |
| Keep all essential equipment working safely. | Health | 2019-12-22 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-12-23 | 2020-01-27 | N |
